Provider Demographics
NPI:1043804271
Name:BRAYEN, SINTU (APRN,FNP-C)
Entity type:Individual
Prefix:MRS
First Name:SINTU
Middle Name:
Last Name:BRAYEN
Suffix:
Gender:F
Credentials:APRN,FNP-C
Other - Prefix:MRS
Other - First Name:SINTU
Other - Middle Name:
Other - Last Name:BRAYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-0214
Mailing Address - Country:US
Mailing Address - Phone:469-401-6102
Mailing Address - Fax:
Practice Address - Street 1:2917 DRIFTWOOD CREEK TRL
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-9630
Practice Address - Country:US
Practice Address - Phone:469-401-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-28
Last Update Date:2021-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1030780207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine