| Doctor Name: | MR. PETER BRASWELL |
| NPI Number: | 1124334891 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 744185 |
| Business Practice Address: | 1650 Cochrane Cir Building # 2059, Attn: Mcxe-pm-ch Ft Carson, CO - 809134603 |
| Business Phone Number: | 7195262939 |
| Business Fax Number: | 7195267181 |
| Mailing Address: | 1650 Cochrane Cir, Building # 2059, Attn: Mcxe-pm-ch FT CARSON |
| State: | CO |
| Postal Code: | 809134603 |
| Phone Number: | 7195262939 |
| Fax Number: | 7195267181 |
| NPI Enumeration Date: | 08/19/2010 |
| NPI Last Update Date: | 08/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 744185 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |