Individual
MARK BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4110 BRIARGATE PKWY STE 140, COLORADO SPRINGS, CO 80920-7836
(719) 364-8346
(303) 306-7753
Mailing address
P.O. BOX 173891, DENVER, CO 80217-9294
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
164745
CO
363L00000X
Nurse Practitioner
Primary
990074
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29758203
—
CO
Enumeration date
01/06/2011
Last updated
05/21/2020
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