Bray, Alisa B

Bray, Alisa B is an individual health care provider with primary practice located at 112 Mansfield Ave , Willimantic CT 06226-2045. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bray, Alisa B can be contacted via phone (860) 456-9116.

Contact Information

Primary practice address
112 Mansfield Ave Willimantic CT 06226-2045
Phone: (860) 456-9116
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8551 Connecticut

Profile Details

NPI number 1720620065
LBN Legal business name Bray, Alisa B
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2019
Last updated Dec 11th, 2019 - about 6 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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