Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. NANCY C BRADDOCK, PA-C
ActiveMS. NANCY C BRADDOCK, PA-C is a Medical Physician Assistant healthcare provider located in BELLEVILLE, Illinois. NPI 1437275252 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BELLEVILLE, IL
Registration Details
- NPI Number
- 1437275252
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2007 (19.433760562597 yrs)
- Last Updated
- Sep 12, 2018
- Licenses
-
2011035522 (MO)085002020 (IL)
Practice Information
- Address
-
311 W LINCOLN STSTE 201BELLEVILLE, IL, 622201902Browse IL providers · Browse ZIP 62220
- Phone
- 6182223200
- Fax
- 6182223203
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in BELLEVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| JEAN SCHUMAKER | PAC | 1134129109 |
| MS. JANET P. RUDDERHAM | PA-C | 1366433286 |
| KATHLEEN KEITHLEY | PA-C | 1760457352 |
| COURTNEY DORAN I | PA | 1306882386 |
| ELIZABETH CUE CYRUS | P.A. | 1609804962 |
| KEVIN WILSON | PA-C | 1063424984 |
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.