Individual
DIANA BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
414 LANE ST, NORTH JUDSON, IN 46366-1226
(574) 896-4325
Mailing address
PO BOX 279, WINAMAC, IN 46996-0279
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010731A
IN
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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