Individual
CASSIDY VICTORIA BRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
113 W HICKORY ST, NEOSHO, MO 64850-1705
(417) 451-1234
Mailing address
PO BOX 3810, JOPLIN, MO 64803-3810
(417) 347-8400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023005150
MO
Other
Enumeration date
02/21/2023
Last updated
03/08/2023
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