Provider Demographics
NPI:1568117034
Name:MCBRAYER, MAREE L (CNA)
Entity Type:Individual
Prefix:
First Name:MAREE
Middle Name:L
Last Name:MCBRAYER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22311 131ST AVE E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-8989
Mailing Address - Country:US
Mailing Address - Phone:125-331-7647
Mailing Address - Fax:
Practice Address - Street 1:22311 131ST AVE E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-8989
Practice Address - Country:US
Practice Address - Phone:253-317-6478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-14
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANC61269976251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care