Healthcare Provider Details

I. General information

NPI: 1831116417
Provider Name (Legal Business Name): DONALD E BRAMAN JR. R.N.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 N MAIN ST
LEEDS MA
01053-9764
US

IV. Provider business mailing address

9 PARSONS ST
EASTHAMPTON MA
01027-1527
US

V. Phone/Fax

Practice location:
  • Phone: 413-584-4040
  • Fax: 413-582-3177
Mailing address:
  • Phone: 413-527-3011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number192152
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: