Linda Diana Braxville
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1578826475
StatusActive
Last updated in NPPESJun 17, 2012
Details
- NPI
- 1578826475
- Entity type
- Individual (NPI-1)
- Name
- Ms. Linda Diana Braxville
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2012
- Last updated
- Jun 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 354936-1 | NY | Yes |
Practice location
301c W 137th StNew York, NY 10030-2408
Phone 212-862-0997
Mailing address
301c W 137th StNew York, NY 10030-2408
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