Individual
BLANCHE LENORA BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6865 W TROPICANA, LAS VEGAS, NV 89103
(866) 825-3227
(866) 397-7399
Mailing address
4165 30TH AVE S SUITE 101, FARGO, ND 58104-8419
(866) 825-3227
(866) 397-7399
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APN000739
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500634
—
NV
05
—
100500635
—
NV
05
—
1851361943
—
NV
Enumeration date
01/23/2006
Last updated
05/09/2008
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