Provider Demographics
NPI:1609596675
Name:BRAMAN, TARAN LEE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:TARAN
Middle Name:LEE
Last Name:BRAMAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2221 S 17TH ST STE 310
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502-3700
Mailing Address - Country:US
Mailing Address - Phone:402-483-8555
Mailing Address - Fax:
Practice Address - Street 1:2221 S 17TH ST STE 310
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502-3700
Practice Address - Country:US
Practice Address - Phone:402-483-8555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant