Individual
MARION BRAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
907 SUMNER ST, SUITE M201, STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544
Mailing address
907 SUMNER ST, SUITE M201, STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127086
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430026248
RAILROAD MEDICARE
MA
Enumeration date
12/02/2005
Last updated
10/15/2013
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