=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538357900
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONNA BRASWELL NP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/10/2007
-----------------------------------------------------
Last Update Date | 01/15/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3321 W KENNEWICK AVE
-----------------------------------------------------
City | KENNEWICK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99336-2957
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-735-6446
-----------------------------------------------------
Fax | 509-735-6449
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3321 W KENNEWICK AVE
-----------------------------------------------------
City | KENNEWICK
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99336-2957
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-735-6446
-----------------------------------------------------
Fax | 509-735-6449
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363L00000X
-----------------------------------------------------
Taxonomy Name | Nurse Practitioner
-----------------------------------------------------
License Number | NP802A
-----------------------------------------------------
License Number State | ID
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number | AP61261531
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------