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NPI Code Detail

MEDICARE: DENISE ANN BRAVO RN, CCM

MEDICARE: DENISE ANN BRAVO RN, CCM
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
1163WC0400XCase Management Registered NurseRN78337NV

General Provider Information

NPI Number : 1003564188
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE ANN BRAVO RN, CCM
Provider Business Mailing Address
First Line : 2917 GNATCATCHER AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3120
Country : US
Telephone Number : 702-217-8572
Fax Number : 877-211-6856
Provider Business Practice Location Address
First Line : 2917 GNATCATCHER AVE
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89084-3120
Country : US
Telephone Number : 702-217-8572
Fax Number : 877-211-6856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2022
Last Update Date : 03/16/2022

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Directions to “ DENISE ANN BRAVO RN, CCM” Practice Location

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