MEDICARE: NADINE ANNE PASLAWSKY-BRAGGS PA-C

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
1	363A00000X	Physician Assistant	0110840247	VA

General Provider Information

NPI Number	:	1588828388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE ANNE PASLAWSKY-BRAGGS PA-C

Provider Business Mailing Address
First Line	:	968 BAKER RD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23455-4611
Country	:	US
Telephone Number	:	757-737-3657
Fax Number	:

Provider Business Practice Location Address
First Line	:	12350 JEFFERSON AVE
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23602-6951
Country	:	US
Telephone Number	:	757-881-9444
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2008
Last Update Date	:	07/11/2008

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