Individual provider · Type 1 NPI

Kristin Braveboy Haddock, APRN

Family Nurse Practitioner · Aiken, SC

NPI number 1053384073 Active

Practice location

420 Society Hill Dr Ste 100
Aiken, SC 29803-1731

Call (803) 648-7774 Map

Fax (803) 648-7490

Mailing address

367 S. Gulph Rd, Att: Ipm Credentialing
King Of Prussia, PA 19406-3121

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2601 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1053384073

Kristin Braveboy Haddock, APRN's National Provider Identifier is 1053384073, issued on Feb 9, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Aiken, SC. The record was last updated on Mar 7, 2019.