Provider Demographics
NPI:1508977398
Name:BRAUNGART, CAROL F (RN,MS,ACNP-C)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:F
Last Name:BRAUNGART
Suffix:
Gender:F
Credentials:RN,MS,ACNP-C
Other - Prefix:
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Mailing Address - Street 1:6 WELLNESS WAY STE 201
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2156
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2125 RIVER RD STE 103
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-1108
Practice Address - Country:US
Practice Address - Phone:518-382-7500
Practice Address - Fax:518-382-7572
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2024-10-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NYF430102363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY070327000102OtherFIDELIS
NY200314OtherSENIOR WHOLE HEALTH
NY368344OtherMVP HEALTHCARE
NY000498841003OtherBSNENY
NY02208428Medicaid
NY69883OtherGHI/HMO
NY368344OtherMVP HEALTHCARE
NY02208428Medicaid