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Individual

ROBIN D BRAUCHLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2120 N DETROIT ST, LAGRANGE, IN 46761-1147
(260) 766-6190
(855) 618-2253
Mailing address
306 DR HAMPEL DR, BUTLER, IN 46721-1185
(260) 366-4770
(877) 370-2854

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000252A
IN
363LF0000X
Family Nurse Practitioner
Primary
71000252
IN
363LP2300X
Primary Care Nurse Practitioner
71000252
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200192630
IN
Enumeration date
05/16/2006
Last updated
09/06/2024
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