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

ILENE BRACKIN, PA-C

Active

ILENE BRACKIN, PA-C is a Surgical Physician Assistant healthcare provider located in BISMARCK, North Dakota. NPI 1457451981 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · BISMARCK, ND

Registration Details

NPI Number
1457451981
Provider Type
Individual
Gender
Female
NPI Issued
Sep 24, 2006 (19.698931852318 yrs)
Last Updated
Dec 28, 2023
Licenses
PAC0236 (ND)
PAC0236 (ND)

Practice Information

Address
310 N 10TH ST
BISMARCK, ND, 585014516
Browse ND providers · Browse ZIP 58501
Phone
7015307500
Fax
7015307484
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in BISMARCK, ND

Name Credential NPI
DEBRA E HELD PA 1265538607
KRISTEN SCHOLL PA-C 1164859831
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.