Individual provider · Type 1 NPI
Susan Brayton, ACNPC-AG
Acute Care Nurse Practitioner · San Angelo, TX
NPI number
1982115150
Active
Practice location
3350 Executive Dr Ste 100
San Angelo, TX 76904-6878
Mailing address
3204 Green Ridge Dr
San Angelo, TX 76904-6426
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 629343 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1982115150
Susan Brayton, ACNPC-AG's National Provider Identifier is 1982115150, issued on Oct 16, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in San Angelo, TX. The record was last updated on Oct 16, 2017.