Individual provider · NPI-1

Seth D Brautigam, CRNP

Nurse Practitioner · West Reading, PA

NPI number1316600364
StatusActive
Last updated in NPPESOct 18, 2021

Details

NPI
1316600364
Entity type
Individual (NPI-1)
Name
Seth D Brautigam
Credential
CRNP
Sex
Male
Sole proprietor
No
Enumeration date
Oct 18, 2021
Certification date
Oct 18, 2021
Last updated
Oct 18, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerSP024508PAYes

Practice location

301 S 7th Ave Ste 1120
West Reading, PA 19611-1493

Phone 484-628-0580 · Fax 610-374-1902

Mailing address

Po Box 825624
Philadelphia, PA 19182-5624

Phone 484-628-5820

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in West Reading, PA