Bragg, Blanche Lenora

Bragg, Blanche Lenora is an individual health care provider with primary practice located at 6865 W Tropicana , Las Vegas NV 89103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bragg, Blanche Lenora can be contacted via phone (866) 825-3227.

Contact Information

Primary practice address
6865 W Tropicana Las Vegas NV 89103
Phone: (866) 825-3227
Fax: (866) 397-7399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X APN000739 Nevada

Profile Details

NPI number 1851361943
LBN Legal business name Bragg, Blanche Lenora
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated May 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851361943 NPPES
Nevada MEDICAID 100500635
Nevada MEDICAID 1851361943
Nevada MEDICAID 100500634

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