MEDICARE: CLAUDIA MICHELLE BRAUER ORNELAS

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	207RN0300X	Nephrology Physician	35.134140	OH
2	207RN0300X	Nephrology Physician	25MA11767300	NJ

General Provider Information

NPI Number	:	1942678628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLAUDIA MICHELLE BRAUER ORNELAS

Provider Business Mailing Address
First Line	:	401 MATTHEW ST DEPT OF
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-1635
Country	:	US
Telephone Number	:	740-374-1400
Fax Number	:

Provider Business Practice Location Address
First Line	:	246 HAMBURG TPKE STE 207
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2160
Country	:	US
Telephone Number	:	973-653-3366
Fax Number	:	973-653-3365

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

Provider Enumeration Date	:	09/11/2015
Last Update Date	:	05/05/2026

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