Brainard, Peter Gilbert

Brainard, Peter Gilbert is an individual health care provider with primary practice located at 77 W Forest Ave Ste 207 , Flagstaff AZ 86001-1483. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Brainard, Peter Gilbert can be contacted via phone (928) 773-2505.

Contact Information

Primary practice address
77 W Forest Ave Ste 207 Flagstaff AZ 86001-1483
Phone: (928) 773-2505
Fax: (928) 773-2504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X TCRNA0880 Arizona

Profile Details

NPI number 1770846669
LBN Legal business name Brainard, Peter Gilbert
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2012
Last updated Jun 16th, 2017 - about 7 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 1770846669 NPPES
Arizona MEDICAID 746503

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