Provider Demographics
NPI:1184969958
Name:BRAUN, KAREN JEAN (APRN-NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:JEAN
Last Name:BRAUN
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3307 W. CAPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-1334
Mailing Address - Country:US
Mailing Address - Phone:308-382-4297
Mailing Address - Fax:308-382-4376
Practice Address - Street 1:3307 W CAPITAL AVE
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-1334
Practice Address - Country:US
Practice Address - Phone:308-382-4297
Practice Address - Fax:308-382-4376
Is Sole Proprietor?:No
Enumeration Date:2012-12-05
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN210815-9163W00000X
NE41796163WG0000X
NE111435363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100263881-00Medicaid
NE100264681-00Medicaid
NE100264681-00Medicaid