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1639140726

NPI Code Detail

MEDICARE: MS. PAULA ELIZABETH BRAUN APRN

MEDICARE: MS. PAULA ELIZABETH BRAUN APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2113194405	UT
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	192058	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	RCAR004662201	OTHER	UT	RAILROAD MEDICARE
7	ICARS72550	OTHER	UT	MEDICARE ADVANTAGE PLUS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	U006107029244101	OTHER	UT	INTERMOUNTAIN HEALTH CARE
2	94293834884101A013	OTHER	UT	CHAMPUS
3	U00197211319404001	OTHER	UT	BLUE CROSS
4	U002809517	OTHER	UT	DESERET MUTUAL
6	U003942938348PB2	OTHER	UT	EDUCATORS MUTUAL

General Provider Information

NPI Number	:	1639140726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PAULA ELIZABETH BRAUN APRN

Provider Business Mailing Address
First Line	:	2817 ST THOMAS DR
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59803-2914
Country	:	US
Telephone Number	:	406-543-4008
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 RAILROAD ST W
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59802-4178
Country	:	US
Telephone Number	:	406-258-4789
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	08/10/2023

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1336661677 — MRS. TAYLOR LYNN STILLE ARNP
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Directions to “ MS. PAULA ELIZABETH BRAUN APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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