Individual provider · Type 1 NPI

Peggy Loree Brazell, NP

Gerontology Nurse Practitioner · Greenville, SC

NPI number 1841247244 Active

Practice location

255 Enterprise Blvd, Suite 101
Greenville, SC 29615-6300

Fax (864) 454-8125

Mailing address

1 Independence Pt Ste 212
Greenville, SC 29615-4536

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X3023 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1841247244

Peggy Loree Brazell, NP's National Provider Identifier is 1841247244, issued on May 30, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Greenville, SC. The record was last updated on Jan 26, 2018.