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Nicole Brackman
NPI 1649784851 · on the registry since 2017
Practice
- Address
- 1260 Centre Tpke Ste 103
Orwigsburg, PA 17961 - Phone
- (570) 968-4184
- Clinicians at this address
- 5
Additional practice sites
- 1260 Centre Tpke Ste 103, Orwigsburg, PA
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania