TRACIE MARAVILLA BRAN

LOUISVILLE, KY
NPI1194184150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3010095)
Enumeration Date2016-02-18
Last Update Date2016-02-29
Business Address
-- TRACIE MARAVILLA BRAN APRN
140 WHITTINGTON PKWY 100
LOUISVILLE, KY 40222-4930
Phone number: 502-327-9100
Mailing Address
-- TRACIE MARAVILLA BRAN APRN
2159 FORTUNE HILL LN
LEXINGTON, KY 40509-4140
Phone number: 859-492-5968