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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ANDREA BRAHAM, AG10240087

Active Sole Proprietor

ANDREA BRAHAM, AG10240087 is a Gerontological Nurse Practitioner healthcare provider located in TAUNTON, Massachusetts. NPI 1154143816 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · TAUNTON, MA

Registration Details

NPI Number
1154143816
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2024 (1.7758811589159 yrs)
Last Updated
Oct 24, 2024
License
278592 (MA)
Sole Proprietor
Yes

Practice Information

Address
46 CROSSOVER LN
TAUNTON, MA, 027807736
Browse MA providers · Browse ZIP 02780
Phone
6178400923
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.