Individual
REBECCA ANDREA BRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1408 AMADOR AVE NW, PALM BAY, FL 32907-8074
(321) 745-5451
Mailing address
1408 AMADOR AVE NW, PALM BAY, FL 32907-8074
(321) 745-5451
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5242466
FL
Other
Enumeration date
04/01/2025
Last updated
04/03/2025
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