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Individual

MS. SUSAN N BRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2101 PARK CENTER DR, SUITE 100 & 130, ORLANDO, FL 32835-7626
(407) 297-0080
(407) 295-3080
Mailing address
2101 PARK CENTER DR, SUITE 100 & 130, ORLANDO, FL 32835-7626
(407) 297-0080
(407) 295-3080

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
ANT9206247
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ANT9206247
NURSE PRACTIONER
FL
Enumeration date
07/23/2007
Last updated
07/23/2007
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