Individual
RILEY MADISON BRASHEAR
Active
Individual
RILEY MADISON BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2315
NV
363AS0400X
Surgical Physician Assistant
Primary
PA2315
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA2315
NV LICENSE
NV
Enumeration date
08/13/2020
Last updated
10/23/2020
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