Individual provider · Type 1 NPI
Blanche Lenora Bragg, FNP
Primary Care Nurse Practitioner · Las Vegas, NV
NPI number
1851361943
Active
Practice location
6865 W Tropicana
Las Vegas, NV 89103
Fax (866) 397-7399
Mailing address
4165 30th Ave S Suite 101
Fargo, ND 58104-8419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | APN000739 (NV) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1851361943
Blanche Lenora Bragg, FNP's National Provider Identifier is 1851361943, issued on Jan 23, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Las Vegas, NV. The record was last updated on May 9, 2008.