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Individual

MR. BRADEN E HEMINGWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-2072
Mailing address
PO BOX 94645, SEATTLE, WA 98124-6945
(509) 474-2072

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60182465
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60192189
WA
367500000X
Certified Registered Nurse Anesthetist
RN119889
AZ

Other

Enumeration date
01/20/2007
Last updated
10/20/2014
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