Individual
GILLIAN BRAUTIGAM
Active
Individual
GILLIAN BRAUTIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
209011430
IL
367A00000X
Advanced Practice Midwife
Primary
APN.0993300-CNM
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209011430
STATE OF ILLINOIS
IL
Enumeration date
04/02/2014
Last updated
03/17/2018
Update your record
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