Provider Demographics
NPI:1265965776
Name:BRAUND, WENDY ELIZABETH (MD, MPH, MSED)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ELIZABETH
Last Name:BRAUND
Suffix:
Gender:F
Credentials:MD, MPH, MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 FORSTER ST FL 8
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17120-0701
Mailing Address - Country:US
Mailing Address - Phone:717-315-8190
Mailing Address - Fax:
Practice Address - Street 1:1310 ELMERTON AVE # 303
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-9713
Practice Address - Country:US
Practice Address - Phone:717-315-8190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00629472083P0901X
PAMD4226132083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYFB3087699OtherDEA REGISTRATION NUMBER