Individual
MRS. BREEANNA SARAH PRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3160
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3160
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01175
—
363A00000X
Physician Assistant
PA10005104
WA
363A00000X
Physician Assistant
—
OR
Other
Enumeration date
11/01/2006
Last updated
05/04/2021
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