Individual
MS. MANU BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
(857) 654-1100
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1000
(857) 654-1100
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
274423
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN274423
MA
363LW0102X
Women's Health Nurse Practitioner
274423
MA
363LW0102X
Women's Health Nurse Practitioner
RN274423
MA
Other
Enumeration date
09/21/2008
Last updated
03/05/2026
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