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NPI Code Detail

MEDICARE: CHRISTINA MARIE BRAATZ MSN, RN, CNP

MEDICARE: CHRISTINA MARIE BRAATZ MSN, RN, CNP
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
1363LF0000XFamily Nurse PractitionerR1285455MN

General Provider Information

NPI Number : 1598759193
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE BRAATZ MSN, RN, CNP
Provider Business Mailing Address
First Line : 7595 ANAGRAM DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7399
Country : US
Telephone Number : 612-573-2200
Fax Number : 612-573-2274
Provider Business Practice Location Address
First Line : 7595 ANAGRAM DR
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-7399
Country : US
Telephone Number : 612-573-2200
Fax Number : 612-573-2274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 07/21/2022

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