Individual
AMY LOUISE BRAUNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3041 E COPPER POINT DR, MERIDIAN, ID 83642-1740
(208) 514-4400
(208) 514-4404
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 514-4400
(208) 514-4404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1491A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306245956
NPI
ID
Enumeration date
08/20/2014
Last updated
01/11/2017
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