Individual
JOANN LYNN BRAZIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
TRICIA ETHERIDGE ST JOSEPH CANDLER, 109 GREEN STREET, RIDGELAND, SC 29936
(843) 726-6773
Mailing address
109 S GREEN STREET, DR. TRICIA ETHERIDGE, RIDGELAND, SC 29936
(184) 372-6677
(843) 726-6778
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26238
SC
363LA2200X
Adult Health Nurse Practitioner
F309202-01
NY
Other
Enumeration date
08/20/2019
Last updated
12/12/2022
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