Provider Demographics
NPI:1336157601
Name:BRAUCH, BARBARA LYNN (NP)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:LYNN
Last Name:BRAUCH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:615-425-4200
Mailing Address - Fax:615-425-4265
Practice Address - Street 1:1820 ROANE STATE HWY
Practice Address - Street 2:
Practice Address - City:HARRIMAN
Practice Address - State:TN
Practice Address - Zip Code:37748-8307
Practice Address - Country:US
Practice Address - Phone:615-425-4200
Practice Address - Fax:615-425-4265
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15331363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP00240169OtherRR MEDICARE
NY00026504103OtherUNIVERA
NY01627141Medicaid
NY000560330005OtherHEALTH NOW
NY161000580OtherNOVA
NY9512127OtherIHA
NYP00240169OtherRR MEDICARE
NYS59990Medicare UPIN