Ilusion Brabham, CRNA
Nurse Anesthetist, Certified Registered in Dallas, TX. Individual provider (NPI-1).
NPI number1881990356
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1881990356
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ilusion Brabham
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2011
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN 9261912 | FL | Yes |
Practice location
5323 Harry Hines Blvd Stop 7200Dallas, TX 75390-7201
Phone 214-648-6400 · Fax 214-648-5461
Mailing address
Po Box 8453475323 Harry Hines Blvd
Dallas, TX 75284-5347
Phone 214-645-0624 · Fax 214-645-0078
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