Individual
MS. CAROL F BRAUNGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MS,ACNP-C
Contact information
Practice address
2125 RIVER RD STE 103, NISKAYUNA, NY 12309-1108
(518) 382-7500
(518) 382-7572
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F430102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000498841003
BSNENY
NY
05
—
02208428
—
NY
01
—
070327000102
FIDELIS
NY
01
—
200314
SENIOR WHOLE HEALTH
NY
01
—
368344
MVP HEALTHCARE
NY
01
—
69883
GHI/HMO
NY
Enumeration date
08/31/2006
Last updated
10/10/2024
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