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NPI Code Detail

MEDICARE: GAIL MARIE BRADEN ARNP

MEDICARE:   GAIL MARIE BRADEN  ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP9259630FL

General Provider Information

NPI Number : 1639433782
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAIL MARIE BRADEN ARNP
Provider Business Mailing Address
First Line : 617 BINNACLE DR
Second Line :
City : NAPLES
State : FL
Zip : 34103-2725
Country : US
Telephone Number : 239-877-6656
Fax Number :
Provider Business Practice Location Address
First Line : 1425 CREECH RD
Second Line :
City : NAPLES
State : FL
Zip : 34103-4207
Country : US
Telephone Number : 239-262-8923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2012
Last Update Date : 07/03/2012

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