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Brayden Nelson

Case Manager/Care Coordinator in Edmond, OK. Individual provider (NPI-1).

NPI number1457094591
StatusActive
Last updated in NPPESApr 17, 2022

Details

NPI
1457094591
Entity type
Individual (NPI-1)
Name
Brayden Nelson
Sex
Male
Sole proprietor
No
Enumeration date
Apr 17, 2022
Certification date
Apr 17, 2022
Last updated
Apr 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

223 E 14th St
Edmond, OK 73034-4747

Phone 405-562-0159

Mailing address

223 E 14th St
Edmond, OK 73034-4747

Phone 405-562-0159

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