NPI 1073999868 · live from the CMS NPI Registry
Carrie Braet, PNP
Nurse Practitioner, Pediatrics in Davenport, IA. National Provider Identifier 1073999868, active.
NPI record
| NPI | 1073999868 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 500 W River Dr, Davenport, IA 52801 |
| Practice phone | 563-336-3000 |
| Enumerated | August 4, 2015 |
| Last updated | January 14, 2016 |
| Sole proprietor | No |
| Other names | Carrie Ricketts |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics primary | 363LP0200X | C-139877 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.