person
Alice E Brayshaw, PA-C
Surgical Physician Assistant in Redding, California
NPI 1215007661

Alice E Brayshaw is a Surgical Physician Assistant based in Redding, CA and is specialized in Surgical. Alice E Brayshaw practices in Redding, CA and has the professional credentials of PA-C. The NPI Number for Alice E Brayshaw is 1215007661 and holds a License No. PA18032 (California).

The current practice location address for Alice E Brayshaw is 1255 Liberty Street, Redding, CA and can be reached out via phone at 530-246-2467 and via fax at 530-242-9460.

Location: 1255 Liberty Street, Redding, CA, 96099-1950
person
Provider Profile Details
NPI Number
1215007661
Provider Name
Alice E Brayshaw
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1255 Liberty Street, Redding, CA, 96099-1950
Phone Number
530-246-2467
Fax Number
530-242-9460
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA18032 01 CA PA LICENSE NUMBER
680310525 01 CA TAX ID
GR0079250 05 CA
institution
Provider Business Practice Location Address Details
Address
1255 Liberty Street
City
State
Zip
96001-0814
Phone Number
530-246-2467
Fax Number
530-242-9460
person
Provider Business Mailing Address Details
Address
1255 Liberty Street
City
State
Zip
96001-0814
Phone Number
530-246-2467
Fax Number
530-242-9460
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA18032 (California)
Definition
Definition to come...
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