Healthcare Provider Details

I. General information

NPI: 1194711069
Provider Name (Legal Business Name): KARIN K BRAUN CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2005
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 N GREENFIELD RD STE 101
GILBERT AZ
85234-5044
US

IV. Provider business mailing address

3730 RHONE CIR SUITE 101
ANCHORAGE AK
99508-5054
US

V. Phone/Fax

Practice location:
  • Phone: 480-664-7463
  • Fax: 480-664-7467
Mailing address:
  • Phone: 907-561-5152
  • Fax: 907-562-2585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberAPRN11280
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number676
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11280
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: