Ethan Bravin, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

273204 Issued in AZ

Practice address

1200 W Speedway Blvd
Tucson, AZ 85745-2326

Phone

(520) 770-3658

NPI assigned

Sep 18, 2024

Last updated

Sep 18, 2024By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1790512259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BRAINTREE DR",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172317",
            "telephone_number": "860-597-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452326",
            "telephone_number": "520-770-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVIN",
        "first_name": "ETHAN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "273204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Bratu, M.D.
• Danielle Braun, BCBA
• Sulfa V Brauner, RN
• Daniel R Brauning, MPT ATC MTC
• Andrew Mark Braunstein, M.D.
• Bravo Geriatrics
• Raquel Maria Bravo-Clouzet, MD, MPH
• Toni Bravo-Price, LCSW
• Sarah Bravo
• Stephanie Catherine Bravo, MD

• School Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.