Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | APRN11015835 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 11015835 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN11015835 | FL |
NPI | 1093477077 |
---|---|
Provider Name | Alexandra Beverly Braun |
First Address | Miami, FL 33136-1005 |
Second Address | Miami, FL 33136-1096 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/10/2021 |
Last Update Date | 10/02/2022 |