Chen Brautigan, RN
Registered Nurse in Gallup, NM. Individual provider (NPI-1).
NPI number1154965002
StatusActive
Last updated in NPPESNov 4, 2019
Details
- NPI
- 1154965002
- Entity type
- Individual (NPI-1)
- Name
- Chen Brautigan
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2019
- Last updated
- Nov 4, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 74191 | OK | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
Mailing address
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
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