Individual
CASEY BRACHVOGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, PMHNP
Contact information
Practice address
288 N BROADWAY UNIT G, SALEM, NH 03079-2171
(857) 256-1487
Mailing address
288 N BROADWAY UNIT G, SALEM, NH 03079-2171
(857) 256-1487
(844) 286-3402
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
079483-23
NH
367500000X
Certified Registered Nurse Anesthetist
07948323
NH
367500000X
Certified Registered Nurse Anesthetist
90198
MA
Other
Enumeration date
08/10/2012
Last updated
11/13/2025
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