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Contact Information

THOMAS A BRAITHWAITE, RN
1034 N 500 W
PROVO, UT84604-3380
 Phone: 801-357-7546
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for THOMAS A BRAITHWAITE · (Male)

NPI Number 1639444045
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 03/19/2012
Last updated 03/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 5533931-3102
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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