Bragg, Heather Renee

Bragg, Heather Renee is an sole proprietor health care provider with primary practice located at 6 Hickok St , Christiansburg VA 24073-3524. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bragg, Heather Renee can be contacted via phone (540) 382-6148.

Contact Information

Primary practice address
6 Hickok St Christiansburg VA 24073-3524
Phone: (540) 382-6148
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001224260 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024172857 Virginia

Profile Details

NPI number 1992181226
LBN Legal business name Bragg, Heather Renee
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2015
Last updated Oct 21st, 2021 - about 5 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 1992181226 NPPES
Virginia MEDICAID 1992181226
Virginia Other P01563271

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