Doctor Name: | LISA JOANNE BRAUN |
NPI Number: | 1770925265 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP5087 |
Business Practice Address: | 12428 W Thunderbird Rd El Mirage, AZ - 853353113 |
Business Phone Number: | 6233446500 |
Business Fax Number: | 6233446501 |
Mailing Address: | 2929 E Thomas Rd, PHOENIX |
State: | AZ |
Postal Code: | 850168034 |
Phone Number: | 6024705043 |
Fax Number: | 6023445064 |
NPI Enumeration Date: | 07/24/2013 |
NPI Last Update Date: | 07/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP5087 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |