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Individual

PAULETTE J BRAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
420 COLONIAL DR, DENTON, MD 21629-3055
(410) 548-2343
Mailing address
6037 WILLIAMSBURG PKWY, SALISBURY, MD 21801-2281

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R104777
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0078
CAREFIRST BC OF NCA IND #
DC
05
403783900
MD
01
62149201
CAREFIRST BC OF MD IND #
MD
Enumeration date
03/08/2006
Last updated
04/10/2017
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