Healthcare Provider Details

I. General information

NPI: 1083234165
Provider Name (Legal Business Name): HANNAH BRAXTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4206 CHAMBERLAYNE AVE
RICHMOND VA
23227-5010
US

IV. Provider business mailing address

1601 WILLOW LAWN DR SUITE 304, MAIL BOX# 1175
RICHMOND VA
23230-3427
US

V. Phone/Fax

Practice location:
  • Phone: 804-878-3518
  • Fax:
Mailing address:
  • Phone: 804-878-3518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0001204656
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number24180444
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: