Individual
KREGAN BRAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
500 SENTARA CIR STE 105, WILLIAMSBURG, VA 23188-5754
(757) 253-5653
(757) 378-2776
Mailing address
6353 CENTER DR STE 100, NORFOLK, VA 23502-4100
(561) 486-8439
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0001192181
VA
367A00000X
Advanced Practice Midwife
Primary
0024170653
VA
Other
Enumeration date
01/26/2015
Last updated
07/07/2022
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