Brauchla, Robin D

Brauchla, Robin D is an individual health care provider with primary practice located at 1717 S Calhoun St , Fort Wayne IN 46802-5257. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Brauchla, Robin D can be contacted via phone (260) 458-2641.

Contact Information

Primary practice address
1717 S Calhoun St Fort Wayne IN 46802-5257
Phone: (260) 458-2641
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71000252A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000252 Indiana

Profile Details

NPI number 1457303950
LBN Legal business name Brauchla, Robin D
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457303950 NPPES
Indiana MEDICAID 200192630

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