Individual
KRISTIN BRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2730
Mailing address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P42313
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P42313
FAMILY MEDICINE
SC
Enumeration date
04/03/2019
Last updated
04/03/2019
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