Individual
BRACKEN MESARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
4455 SHADOW WILLOW DR, EL PASO, TX 79922-2220
(808) 927-0719
Mailing address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(808) 927-0719
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1167694
TX
363L00000X
Nurse Practitioner
9521708-4405
UT
Other
Enumeration date
02/13/2024
Last updated
09/22/2024
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