Caelan Lee Brazee
Nurse Practitioner in Grand Island, NE. Individual provider (NPI-1).
NPI number1295569986
StatusActive
Last updated in NPPESAug 27, 2024
Details
- NPI
- 1295569986
- Entity type
- Individual (NPI-1)
- Name
- Caelan Lee Brazee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2024
- Certification date
- Aug 27, 2024
- Last updated
- Aug 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 115577 | NE | Yes |
Practice location
908 N Howard Ave Ste 108Grand Island, NE 68803-3529
Phone 308-398-8993
Mailing address
908 N Howard Ave Ste 108Grand Island, NE 68803-3529
Phone 308-398-8993
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