Individual
LISA JOANNE BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 250-1053
(479) 250-0923
Mailing address
3101 SE 14TH ST, BENTONVILLE, AR 72712-4900
(479) 250-1053
(479) 250-0923
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP145979
TX
363LF0000X
Family Nurse Practitioner
219391
AR
363LF0000X
Family Nurse Practitioner
AP5087
AZ
Other
Enumeration date
07/24/2013
Last updated
04/24/2023
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