Provider Demographics
NPI:1144421058
Name:BRAUN, NATALIE J (LMP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:J
Last Name:BRAUN
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12048 32ND AVE NE
Mailing Address - Street 2:SUITE #307
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-5557
Mailing Address - Country:US
Mailing Address - Phone:206-364-1073
Mailing Address - Fax:206-364-1073
Practice Address - Street 1:12048 32ND AVE NE
Practice Address - Street 2:SUITE #307
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-5557
Practice Address - Country:US
Practice Address - Phone:206-364-1073
Practice Address - Fax:206-364-1073
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00018655174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist