Healthcare Provider Details

I. General information

NPI: 1700601168
Provider Name (Legal Business Name): KATHRYN BRAUN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 N FRANKLIN ST STE 450
DENVER CO
80218-1128
US

IV. Provider business mailing address

8726 MIDDLE FORK ST
LITTLETON CO
80125-8508
US

V. Phone/Fax

Practice location:
  • Phone: 303-321-1333
  • Fax:
Mailing address:
  • Phone: 847-445-9721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPN.10000117-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: