Michelle Braget, PA
Physician Assistant, Surgical in Mc Cook, NE. Individual provider (NPI-1).
NPI number1265259089
StatusActive
Last updated in NPPESSep 27, 2024
Details
- NPI
- 1265259089
- Entity type
- Individual (NPI-1)
- Name
- Michelle Braget
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 23, 2024
- Certification date
- Sep 27, 2024
- Last updated
- Sep 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 3161 | NE | Yes |
| 363A00000X | Physician Assistant | 3161 | NE |
Practice location
1301 E H StMc Cook, NE 69001-3482
Phone 308-344-2650
Mailing address
905 W 5th StMc Cook, NE 69001-3016
Phone 406-868-3723
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