Provider Demographics
NPI:1164191987
Name:BRAMAN, ASHLEY PAIGE (RN)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:PAIGE
Last Name:BRAMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:380 FREEVILLE ROAD
Mailing Address - Street 2:ATTN: MEDICAL CLINIC
Mailing Address - City:FREEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13068
Mailing Address - Country:US
Mailing Address - Phone:607-844-6460
Mailing Address - Fax:607-844-3077
Practice Address - Street 1:380 FREEVILLE ROAD
Practice Address - Street 2:ATTN: MEDICAL CLINIC
Practice Address - City:FREEVILLE
Practice Address - State:NY
Practice Address - Zip Code:13068
Practice Address - Country:US
Practice Address - Phone:607-844-6460
Practice Address - Fax:607-844-3077
Is Sole Proprietor?:No
Enumeration Date:2021-09-07
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY716918-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse