| Doctor Name: | DR. MICHELE I BRACKEN |
| NPI Number: | 1215203617 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | R091871 |
| Business Practice Address: | 4384 Crisfield Hwy Crisfield, MD - 218172550 |
| Business Phone Number: | 4434930062 |
| Business Fax Number: | |
| Mailing Address: | 4384 Crisfield Hwy, CRISFIELD |
| State: | MD |
| Postal Code: | 218172550 |
| Phone Number: | 4434930062 |
| Fax Number: | |
| NPI Enumeration Date: | 03/29/2012 |
| NPI Last Update Date: | 03/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | R091871 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |