NPI Profile for PENNY W BRASWELL in RALEIGH, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Family Medicine - Sports Medicine |
207QS0010X | 08 | Physician/Family Practice |
| NPI Number | 1245974336 |
|
| Status | Active | |
| Credentials | FNP (Family Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 04/25/2022 | |
| Last updated | 11/27/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PENNY W BRASWELL
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