Individual
SUSAN KAY BRAVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
146 S GRANITE ST, PRESCOTT, AZ 86303-4710
(928) 717-3241
(928) 717-3298
Mailing address
200 E SMOKE TREE LN, PRESCOTT, AZ 86301-4468
(928) 541-1600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN111484
AZ
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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