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NPI Code Detail

MEDICARE: KALEIGH JEAN BRADEN DNP, APRN, FNP-BC

MEDICARE: KALEIGH JEAN BRADEN DNP, APRN, FNP-BC
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 PractitionerAPRN11020249FL

General Provider Information

NPI Number : 1740911932
Entity Type Code : Individual
Provider Name (Legal Business Name) : KALEIGH JEAN BRADEN DNP, APRN, FNP-BC
Provider Business Mailing Address
First Line : 818 FRANKLIN AVE
Second Line :
City : ELLENTON
State : FL
Zip : 34222-2323
Country : US
Telephone Number : 941-779-5319
Fax Number :
Provider Business Practice Location Address
First Line : 2310 60TH STREET CT W
Second Line :
City : BRADENTON
State : FL
Zip : 34209-6609
Country : US
Telephone Number : 941-779-5319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2022
Last Update Date : 06/20/2022

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