Provider Demographics
NPI:1598303216
Name:BRAUN, KATIE LYNN (ARNP)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LYNN
Last Name:BRAUN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 JAMES ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1895
Mailing Address - Country:US
Mailing Address - Phone:319-337-8329
Mailing Address - Fax:319-379-6156
Practice Address - Street 1:1900 JAMES ST STE 1
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1895
Practice Address - Country:US
Practice Address - Phone:319-337-8329
Practice Address - Fax:319-337-8692
Is Sole Proprietor?:No
Enumeration Date:2019-12-12
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA157123363LF0000X
IAG157617363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily