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Individual

KELLY SUE BRACKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
400 E EVERGREEN BLVD STE 217, VANCOUVER, WA 98660-3264
(509) 596-1138
(971) 308-7811
Mailing address
400 E EVERGREEN BLVD STE 217, VANCOUVER, WA 98660-3264
(509) 596-1138
(971) 308-7811

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP70050596
WA

Other

Enumeration date
10/01/2025
Last updated
10/01/2025
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