Individual
TENIA BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4199 KINROSS LAKES PKWY, RICHFIELD, OH 44286-9010
(855) 259-9183
Mailing address
17087 HUNTING MEADOWS DR, STRONGSVILLE, OH 44136-6226
(440) 623-5512
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.400969
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0034584
OH
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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