Doctor Name: | CHRISTINA D. BRASH |
NPI Number: | 1962821736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 64447 |
Business Practice Address: | 908 Scarbro Road Scarbro, WV - 25917 |
Business Phone Number: | 3044692905 |
Business Fax Number: | 3044653180 |
Mailing Address: | 908 Scarbro Road, P O Box 337 SCARBRO |
State: | WV |
Postal Code: | 25917 |
Phone Number: | 3044692905 |
Fax Number: | 3044655486 |
NPI Enumeration Date: | 04/09/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 64447 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |