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
Fax: (563) 336-3125
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073999868 NPPES
Iowa MEDICAID PENDING

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