Individual
SHANNON BRASLAVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPNP-BC
Contact information
Practice address
3555 STONE CREEK CIR SW, CEDAR RAPIDS, IA 52404-1240
(319) 693-8800
(319) 208-2273
Mailing address
430 B AVE NE, WALFORD, IA 52351-8018
(501) 943-9070
(319) 208-2273
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A004140
AR
363LA2200X
Adult Health Nurse Practitioner
A004140
AR
363LG0600X
Gerontology Nurse Practitioner
A004140
AR
Other
Enumeration date
07/22/2014
Last updated
01/29/2025
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