Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Braden Mancini

Individual provider Family Nurse Practitioner · NPI 1215645452

Braden Mancini is a Nurse Practitioner in Charles Town, West Virginia. Qualified in 2025, 1 year ago. Licensed in West Virginia.

Years since qualifying
1
Licensed in
WV
In the registry since
2022

Practice location Address checks out

1263 S George St # A
Charles Town, WV 25414-4384
Phone: (443) 383-9300
Fax: (855) 866-8710
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 104392 (WV)

Record details

NPI number1215645452
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address909 Ridgebrook Rd Ste 300, Sparks, MD 21152-9477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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