Individual
KARLIE STRAIGHT-BRAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1120 E ELIZABETH ST STE G2, FORT COLLINS, CO 80524-4044
(970) 493-9193
Mailing address
2 FRIAR TUCK WAY, BERLIN, MD 21811-2044
(443) 880-0660
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
PA.0006707
CO
363A00000X
Physician Assistant
Primary
PA.0006707
CO
Other
Enumeration date
02/13/2020
Last updated
03/03/2025
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