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Individual

MS. PAULA ELIZABETH BRAUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
401 RAILROAD ST W, MISSOULA, MT 59802-4178
(406) 258-4789
Mailing address
2817 ST THOMAS DR, MISSOULA, MT 59803-2914
(406) 543-4008

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
192058
MT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2113194405
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
94293834884101A013
CHAMPUS
UT
01
ICARS72550
MEDICARE ADVANTAGE PLUS
UT
01
RCAR004662201
RAILROAD MEDICARE
UT
01
U00197211319404001
BLUE CROSS
UT
01
U002809517
DESERET MUTUAL
UT
01
U003942938348PB2
EDUCATORS MUTUAL
UT
01
U006107029244101
INTERMOUNTAIN HEALTH CARE
UT
Enumeration date
01/27/2006
Last updated
08/10/2023
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