Individual
LISA ANN BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
820 4TH ST N, FARGO, ND 58102-4539
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R35013
MN
363LF0000X
Family Nurse Practitioner
R35013
ND
Other
Enumeration date
12/07/2022
Last updated
04/17/2023
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