Individual provider · Type 1 NPI

Pete C. Bravo Jr., FNP

Nurse Practitioner · Southlake, TX

NPI number 1073079216 Active

Practice location

2777 E Southlake Blvd Ste 140
Southlake, TX 76092-8017

Mailing address

2001 Butterfield Rd, Ste 300
Downers Grove, IL 60515-1069

Other practice locations

  • 2201 N Central Expy Ste 125, Richardson, TX 75080-2701 · (214) 377-1790

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAP140592 (TX)
Nurse Practitioner Primary 363L00000XAP140592 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1073079216

Pete C. Bravo Jr., FNP's National Provider Identifier is 1073079216, issued on Feb 12, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Southlake, TX. The record was last updated on Jan 13, 2020.