Organization
BRAY SURGICAL ASSISTING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA BRAY N.P. (OWNER)
(303) 886-0668
Entity
Organization
Contact information
Practice address
9457 S UNIVERSITY BLVD, 614, HIGHLANDS RANCH, CO 80126-4976
(303) 886-0668
Mailing address
9457 S UNIVERSITY BLVD, 614, HIGHLANDS RANCH, CO 80126-4976
(303) 886-0668
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
116665
CO
363LA2200X
Adult Health Nurse Practitioner
116665
CO
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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