Andrea L Braswell
Individual provider Active NPI Registered Nurse · Graceville, FL
NPI 1356200570 · NPPES record last updated Jan 22, 2026
Key facts
- NPI
- 1356200570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9626334 (FL)
- Practice address
- 3958 Hal Galerneau LN
Graceville, FL 32440-7014 - Phone
- (850) 693-4662
- NPI assigned
- Jan 22, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9626334 | FL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9626334 | FL | Yes |
Addresses
Primary practice location
3958 Hal Galerneau LN
Graceville, FL 32440-7014
Mailing address
3958 Hal Galerneau LN
Graceville, FL 32440-7014
Phone (850) 693-4662
Other providers in Graceville, FL
- 2 Hearts 1 Love, LLC
- Makynzie Noel Bass
- Tiffany Beech
- Jordan Christopher Bellamy
- John Byrd
- Campbellton-Graceville Hospital
- Campbellton-Graceville Hospital
- Campbellton-Graceville Hospital
- Campbellton-Graceville Hospital
All providers in Graceville, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.