institution
Bravo Mental Wellness Pllc
Psychiatric/Mental Health Nurse Practitioner in Raleigh, North Carolina
NPI 1033819529

Bravo Mental Wellness Pllc is a Psychiatric/Mental Health Nurse Practitioner based in Fuquay Varina, NC and is specialized in Psychiatric/Mental Health. Bravo Mental Wellness Pllc practices in Raleigh, NC. The NPI Number for Bravo Mental Wellness Pllc is 1033819529 and holds a License No. (North Carolina).

The current practice location address for Bravo Mental Wellness Pllc is 174 Mine Lake Ct Ste 200, Raleigh, NC and can be reached out via phone at 919-769-1910 and via fax at 919-214-5388.

Location: 174 Mine Lake Ct Ste 200, Raleigh, NC, 27526-1960
institution
Provider Profile Details
NPI Number
1033819529
Provider Name
Bravo Mental Wellness Pllc
Credential
Provider Entity Type
Organization
Address
174 Mine Lake Ct Ste 200, Raleigh, NC, 27526-1960
Phone Number
919-769-1910
Fax Number
919-214-5388
Provider Enumeration Date
03/06/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5014097 01 NC NORTH CAROLINA BOARD OF NURSING NP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
174 Mine Lake Ct Ste 200
City
State
Zip
27615-6417
Phone Number
919-769-1910
Fax Number
919-214-5388
person
Provider Business Mailing Address Details
Address
174 Mine Lake Ct Ste 200
City
State
Zip
27615-6417
Phone Number
919-769-1910
Fax Number
919-214-5388
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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