FREDERICK BRASWELL ANP NPI 1376711937

NPI Information

NPI: 1376711937
Provider Name: FREDERICK BRASWELL, ANP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
6209 W 12TH ST
LITTLE ROCK, AR
ZIP 72204
Phone: (501) 663-5221
Get Directions

Frederick Braswell, ANP is a family nurse practitioner in Little Rock, AR. Frederick Braswell, ANP NPI is 1376711937. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6209 W 12TH ST
LITTLE ROCK, AR
ZIP 72204-505
Phone: (501) 663-5221
Fax: (501) 663-6759

The enumeration date for this NPI number is 2/18/2008 and was last updated on 2/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	A03067 ANP	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MB1712846	OTHER	ARKANSAS	DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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