Most Relevant Information
Provider Data
| NPI Number: | 1003564188 |
| Provider Name: | DENISE ANN BRAVO RN, CCM |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0400X |
| Specialty: | Registered Nurse |
| License Number: | RN78337 |
Most Important Dates
| Enumeration Date: | 03/16/2022 |
| Last Updated: | 03/16/2022 |
Provider Practice Location
2917 GNATCATCHER AVE
NORTH LAS VEGAS
NV
890843120
Practice Location Phone/Fax
| Phone: | 7022178572 |
| Fax: | 8772116856 |
Provider Mailing Location
2917 GNATCATCHER AVE
NORTH LAS VEGAS
NV
890843120
Provider Mailing Phone/Fax
| Phone: | 7022178572 |
| Fax: | 8772116856 |