Individual
BREANA S BRAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
70 MITCHELL RD NE, CULLMAN, AL 35055-5903
(256) 701-8064
Mailing address
70 MITCHELL RD NE, CULLMAN, AL 35055-5903
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2075241
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000014
—
AL
Enumeration date
03/16/2022
Last updated
03/20/2022
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