Bray, Angela B

Bray, Angela B is an individual health care provider with primary practice located at 8596 Orange Avenue , Pensacola FL 32534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bray, Angela B can be contacted via phone (850) 549-1387.

Contact Information

Primary practice address
8596 Orange Avenue Pensacola FL 32534
Phone: (850) 549-1387
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA9102817 Florida
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA-377 Alabama

Profile Details

NPI number 1558346213
LBN Legal business name Bray, Angela B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jun 12th, 2013 - about 11 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 1558346213 NPPES
Alabama Other 59177261 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 291980000 BLUE CROSS BLUE SHIELD
Alabama MEDICAID 891009260 BLUE CROSS BLUE SHIELD

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