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Individual

KAREN ELAINE BRABANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ACNP-BC,CNS

Contact information

Practice address
29832 REDWOOD DR, CANYON LAKE, CA 92587-7947
(951) 442-5467
Mailing address
29832 REDWOOD DR, CANYON LAKE, CA 92587-7947
(951) 442-5467

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
16603
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871667337
CA
Enumeration date
11/17/2006
Last updated
10/08/2013
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