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NPI Code Detail

MEDICARE: ASHLEY ANNE BRAGE

MEDICARE: ASHLEY ANNE BRAGE
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1134842669
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY ANNE BRAGE
Provider Business Mailing Address
First Line : 2690 CHESAPEAKE DR APT 1803
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4477
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1115 3RD ST
Second Line :
City : MUSKEGON
State : MI
Zip : 49441-2170
Country : US
Telephone Number : 605-520-9235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2022
Last Update Date : 03/09/2026

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Directions to “ ASHLEY ANNE BRAGE ” Practice Location

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