Provider Demographics
NPI:1225517584
Name:BRAWNER, AILEEN CABADING (APRN)
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:CABADING
Last Name:BRAWNER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8290 W SAHARA AVE STE 190
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-8933
Mailing Address - Country:US
Mailing Address - Phone:323-448-8567
Mailing Address - Fax:
Practice Address - Street 1:8290 W SAHARA AVE STE 190
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-8933
Practice Address - Country:US
Practice Address - Phone:323-448-8567
Practice Address - Fax:702-920-8694
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-08
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV812722363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology