Individual
KATHLEEN FERN BRAGEWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
508 BUTTERFLY LN, RED OAK, TX 75154-4210
(469) 245-5517
Mailing address
508 BUTTERFLY LN, RED OAK, TX 75154-4210
(469) 245-5517
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
240895
TX
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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