Individual
CARISSA ANNE BRAGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
600 N WOLFE ST, MEYER 8-140, BALTIMORE, MD 21287-0005
(410) 955-8070
Mailing address
600 N WOLFE ST, MEYER 8-140, BALTIMORE, MD 21287-0005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R178302
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R178302
MD
Other
Enumeration date
02/03/2011
Last updated
11/09/2017
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