PAULETTE J BRAUER (NPI# 1295703163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295703163 |
Entity Type | Individual |
Full Name | PAULETTE J BRAUER |
Practice Address |
420 Colonial Dr Denton MD 21629-3055 |
Mailing Address |
6037 Williamsburg Pkwy Salisbury MD 21801-2281 |
Practice Telephone | 4105482343 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2017-04-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R104777 | MD | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | CAREFIRST BC OF MD IND # | 62149201 | 01 |
DC | CAREFIRST BC OF NCA IND # | 0078 | 01 |
MD | 403783900 | 05 |
Street Address |
420 COLONIAL DR |
City | DENTON |
State | MD |
Zip Code | 21629-3055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295360097 | Denton Md Opco LLC | Respite Care | 420 Colonial Dr, Denton, MD 21629-3055 | 2020-03-12 |
1093289159 | Aaron Malecki | Physical Therapy Assistant | 420 Colonial Dr, Denton, MD 21629-3055 | 2019-01-11 |
1326513854 | Denton Operator, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2018-10-11 |
1649762337 | Denton Operator, LLC | Respite Care | 420 Colonial Dr, Denton, MD 21629-3055 | 2018-05-30 |
1396286811 | Brinton Woods of Denton, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2017-03-16 |
1295275105 | Brinton Woods of Denton, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2017-02-27 |
1578925053 | Danielle Stewart | Speech-Language Pathologist | 420 Colonial Dr, Denton, MD 21629-3055 | 2016-03-24 |
1144473273 | Envoy of Denton, LLC | Skilled Nursing Facility | 420 Colonial Dr, Denton, MD 21629-3055 | 2008-11-03 |
1861518219 | Mary Ann Reihl | Occupational Therapist | 420 Colonial Dr, Denton, MD 21629-3055 | 2007-03-21 |
1851417109 | Christy Lee Thompson | Physical Therapist | 420 Colonial Dr, Denton, MD 21629-3055 | 2007-03-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
Find all providers in zip 21629 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124629639 | Tania Castleman | Nurse Practitioner | 2028 Chandler Dr, Denton, TX 76209-1616 | 2020-11-03 |
1487251765 | Anna Rose Beccone | Nurse Practitioner | 3537 S I 35 E Ste 317, Denton, TX 76210-6870 | 2020-10-08 |
1316566599 | Heather Ashley Medaris | Nurse Practitioner | 2800 Frontier Dr, Denton, TX 76210-1200 | 2020-04-08 |
1124662028 | Kyle David Motsenbocker | Nurse Practitioner | 2700 Cedar Creek Ln Apt 1226, Denton, TX 76210-2110 | 2019-11-04 |
1780148783 | Cassandra Jeanette Gutierrez | Nurse Practitioner | 1119 Collier St Ste 100, Denton, TX 76201-6579 | 2019-01-24 |
1679043095 | Yasmin Lakhani | Nurse Practitioner | 2501 Scripture St Ste 103, Denton, TX 76201-2314 | 2018-11-28 |
1750879565 | Abisola Abosede | Nurse Practitioner | 1201 Bayfield St, Denton, TX 76209-3547 | 2018-04-26 |
1124529490 | Maria Tranquilina Jimenez | Nurse Practitioner | 4206 S Interstate 35 E, Denton, TX 76207 | 2018-02-22 |
1477067387 | Jaime Elizabeth Mendez | Nurse Practitioner | 209 N Bonnie Brae St Ste 203, Denton, TX 76201-3748 | 2017-11-30 |
1861919144 | Mary Lenore Garcia | Nurse Practitioner | 2435 W. Oak St., Suite 103, Denton, TX 76201 | 2017-08-28 |
Find all providers in DENTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.