MEDICARE: BRIDGET A BRAUNS APN-NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.0094887	CO
2	363LG0600X	Gerontology Nurse Practitioner	APN.0997044-NP	CO
3	363L00000X	Nurse Practitioner	RXN.0106083-NP	CO

General Provider Information

NPI Number	:	1578237566
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET A BRAUNS APN-NP

Provider Business Mailing Address
First Line	:	956 DESPARADO RD
Second Line	:
City	:	BAILEY
State	:	CO
Zip	:	80421-1006
Country	:	US
Telephone Number	:	303-838-1805
Fax Number	:

Provider Business Practice Location Address
First Line	:	AURORA MEDICAL CENTER
Second Line	:	1501 S POTOMAC STREET
City	:	AURORA
State	:	CO
Zip	:	80012-8001
Country	:	US
Telephone Number	:	303-819-1551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2021
Last Update Date	:	11/23/2022

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