Braun, Kristen

Braun, Kristen is an individual health care provider with primary practice located at 302 Saint Joseph Dr , Bloomington IL 61701-3506. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Braun, Kristen can be contacted via phone (309) 664-3100.

Contact Information

Primary practice address
302 Saint Joseph Dr Bloomington IL 61701-3506
Phone: (309) 664-3100
Fax: (309) 664-3027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209000460 Illinois

Profile Details

NPI number 1972681245
LBN Legal business name Braun, Kristen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Apr 22nd, 2014 - about 10 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 1972681245 NPPES
Other IL2613 MEDICARE GROUP #

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