Braet, Carrie
Braet, Carrie is an individual health care provider with primary practice located at 500 W River Dr , Davenport IA 52801-1014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Braet, Carrie can be contacted via phone (563) 336-3000.Contact Information
Primary practice address
500 W River Dr
Davenport IA 52801-1014
Phone: (563) 336-3000
Fax: (563) 336-3125
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | C-139877 | Iowa |
Profile Details
NPI number | 1073999868 |
---|---|
LBN Legal business name | Braet, Carrie |
Credentials | Pediatric Nurse Practitioner (PNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 4th, 2015 |
Last updated | Jan 14th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073999868 | NPPES |
Iowa | MEDICAID | PENDING |
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