Individual
MARY LOU BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12 E 5TH ST, NEWPORT, KY 41071-1618
(859) 578-3200
(859) 534-2627
Mailing address
12 E 5TH ST, NEWPORT, KY 41071-1618
(859) 491-6510
(877) 331-3292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006427
KY
363LF0000X
Family Nurse Practitioner
3006427
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3006427
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100119230
—
KY
Enumeration date
04/30/2010
Last updated
04/28/2025
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