Individual
SHANNON NICOLE BRAUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-7106
(843) 792-2300
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(304) 533-8681
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
C-APN.0004225-C-NP
CO
Other
Enumeration date
06/30/2022
Last updated
06/01/2025
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