Individual
SASHA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
174 MINE LAKE CT STE 200, RALEIGH, NC 27615-6417
(919) 769-1910
(919) 214-5388
Mailing address
921 E BROAD ST # 1065, FUQUAY VARINA, NC 27526-1960
(919) 769-1910
(919) 214-5388
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5014097
NC
Other
Enumeration date
02/18/2021
Last updated
04/12/2023
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