Individual
ANDREW BRAGAGNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
16014 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 340-7868
(985) 340-7866
Mailing address
16014 DOCTORS BLVD, HAMMOND, LA 70403-1478
(985) 340-7868
(985) 340-7866
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
324878
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2543911
—
LA
Enumeration date
11/24/2020
Last updated
03/26/2021
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