Individual
DONNA BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
5609 N EVEREST AVE, OKLAHOMA CITY, OK 73111-6729
(405) 208-9621
Mailing address
5609 N EVEREST AVE, OKLAHOMA CITY, OK 73111-6729
(405) 208-9621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72355
OK
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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