| Doctor Name: | LAURA BRAKE |
| NPI Number: | 1023335668 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, CNP |
| License Number: | COA10968-NP |
| Business Practice Address: | 757 Brooksedge Plaza Dr Westerville, OH - 430814913 |
| Business Phone Number: | 6148186156 |
| Business Fax Number: | |
| Mailing Address: | 4798 Hoseah St, COLUMBUS |
| State: | OH |
| Postal Code: | 432289089 |
| Phone Number: | 6144394957 |
| Fax Number: | |
| NPI Enumeration Date: | 04/21/2010 |
| NPI Last Update Date: | 09/06/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | COA10968-NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |