Individual
MRS. STEPHANIE RENEE BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
294 N HIGHWAY 16, STE. B, DENVER, NC 28037-8011
(704) 483-8105
Mailing address
PO BOX 681789, FRANKLIN, TN 37068-1789
(615) 503-9000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007050
NC
363LF0000X
Family Nurse Practitioner
5007050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548520935
—
NC
Enumeration date
05/21/2012
Last updated
08/13/2015
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