Braxton, Breana S

Braxton, Breana S is an individual health care provider with primary practice located at 70 Mitchell Rd Ne , Cullman AL 35055-5903. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Braxton, Breana S can be contacted via phone (256) 701-8064.

Contact Information

Primary practice address
70 Mitchell Rd Ne Cullman AL 35055-5903
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2075241 Alabama

Profile Details

NPI number 1558019760
LBN Legal business name Braxton, Breana S
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2022
Last updated Mar 20th, 2022 - about 2 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 1558019760 NPPES
Alabama MEDICAID 330000014

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