Doctor Name: | CECELIA L BRAUN |
NPI Number: | 1245583467 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0110004027 |
Business Practice Address: | 416 Durant St South Hill, VA - 239700090 |
Business Phone Number: | 4347742581 |
Business Fax Number: | 4344474704 |
Mailing Address: | 416 Durant St, SOUTH HILL |
State: | VA |
Postal Code: | 239700090 |
Phone Number: | 4347742581 |
Fax Number: | 4344474704 |
NPI Enumeration Date: | 10/25/2012 |
NPI Last Update Date: | 10/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0110004027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |