Provider Demographics
NPI: | 1578237566 |
---|---|
Name: | BRAUNS, BRIDGET A (APN-NP) |
Entity type: | Individual |
Prefix: | |
First Name: | BRIDGET |
Middle Name: | A |
Last Name: | BRAUNS |
Suffix: | |
Gender: | F |
Credentials: | APN-NP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 956 DESPARADO RD |
Mailing Address - Street 2: | |
Mailing Address - City: | BAILEY |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80421-1006 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 303-838-1805 |
Mailing Address - Fax: | |
Practice Address - Street 1: | AURORA MEDICAL CENTER |
Practice Address - Street 2: | 1501 S POTOMAC STREET |
Practice Address - City: | AURORA |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80012-8001 |
Practice Address - Country: | US |
Practice Address - Phone: | 303-819-1551 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2021-08-04 |
Last Update Date: | 2022-11-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CO | RN.0094887 | 163W00000X |
CO | APN.0997044-NP | 363LG0600X |
CO | RXN.0106083-NP | 363L00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LG0600X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No | 163W00000X | Nursing Service Providers | Registered Nurse | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |