Individual
MARISA L. BRACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1505 DELAWARE AVE, FORT PIERCE, FL 34950-3975
(772) 461-1402
(844) 540-4794
Mailing address
5827 CORPORATE WAY, WEST PALM BEACH, FL 33407-2000
(561) 844-9443
(561) 472-9692
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN9191325
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307870100
—
FL
Enumeration date
07/15/2006
Last updated
03/19/2019
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