Healthcare Provider Details

I. General information

NPI: 1841982170
Provider Name (Legal Business Name): JULIANNE BRAUER MPH, RD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

482 W SAN CARLOS ST
SAN JOSE CA
95110-2627
US

IV. Provider business mailing address

482 W SAN CARLOS ST
SAN JOSE CA
95110-2627
US

V. Phone/Fax

Practice location:
  • Phone: 800-913-2615
  • Fax: 669-268-1195
Mailing address:
  • Phone: 800-913-2615
  • Fax: 669-268-1195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number86212067
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number86212067
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: