Individual
DONNA MARIE BRAGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
92 PLAZA DR, LAWRENCEBURG, KY 40342-9056
(502) 839-3805
(502) 839-3806
Mailing address
PO BOX 44, LIBERTY, KY 42539-0044
(606) 669-8519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012835
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100582040
—
KY
Enumeration date
11/05/2018
Last updated
07/24/2024
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