Individual
NICHOLE BRAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
24901 S POWER RD, QUEEN CREEK, AZ 85142-8428
(480) 424-8102
(480) 224-9413
Mailing address
24901 S POWER RD, QUEEN CREEK, AZ 85142-8428
(480) 424-8102
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN179136
AZ
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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