Individual
PROF. RENA MARIE BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
314 N FRANKLIN ST, BASTROP, LA 71220-3846
(318) 283-8887
(318) 281-6339
Mailing address
PO BOX 792, BASTROP, LA 71221-0792
(318) 283-8887
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP04272
LA
363LF0000X
Family Nurse Practitioner
Primary
AP04272
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162540
—
LA
01
—
653767
FAMILY NURSE PRACTITIONER
LA
Enumeration date
09/28/2006
Last updated
03/21/2025
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