Individual
BRAYDEN BRADLEY MORTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5716 FAYETTEVILLE RD, DURHAM, NC 27713-9661
(919) 572-1868
Mailing address
5529 SUNLIGHT DR APT 205, DURHAM, NC 27707-9057
(801) 673-5859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5017006
NC
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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