MEDICARE: HANNAH BRAXTON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0001204656	VA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	24180444	VA

General Provider Information

NPI Number	:	1083234165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH BRAXTON NP

Provider Business Mailing Address
First Line	:	5625 BURNAGE CT
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-4051
Country	:	US
Telephone Number	:	804-878-3518
Fax Number	:

Provider Business Practice Location Address
First Line	:	5625 BURNAGE CT
Second Line	:
City	:	CHESTERFIELD
State	:	VA
Zip	:	23832-4051
Country	:	US
Telephone Number	:	804-878-3518
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2020
Last Update Date	:	07/24/2025

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