Most Relevant Information
Provider Data
| NPI Number: | 1003291949 |
| Provider Name: | ANDREW BRAVE CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R194244 |
Most Important Dates
| Enumeration Date: | 07/21/2015 |
| Last Updated: | 03/20/2017 |
Provider Practice Location
2401 W BELVEDERE AVE
BALTIMORE
MD
212155216
Practice Location Phone/Fax
| Phone: | 4106019000 |
| Fax: |
Provider Mailing Location
2401 W BELVEDERE AVE
BALTIMORE
MD
212155216
Provider Mailing Phone/Fax
| Phone: | 4106019000 |
| Fax: |