Individual
STEVEN BRAUDWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
937 NW 9TH ST, MOORE, OK 73160-1809
(405) 615-3245
Mailing address
937 NW 9TH ST, MOORE, OK 73160-1809
(405) 615-3245
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R0089090
OK
363LF0000X
Family Nurse Practitioner
Primary
89090
OK
Other
Enumeration date
12/04/2016
Last updated
03/28/2017
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