Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 24249 | MN |
Y | 2080P0202X | Pediatric Cardiologist | 24249 | MN |
NPI | 1265468334 |
---|---|
Provider Name | Dr. Elizabeth Ann Braunlin |
First Address | Minneapolis, MN 55455 |
Second Address | Minneapolis, MN 55455 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2006 |
Last Update Date | 04/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0052078 | (05) | MT |
0644008 | PREFERRED ONE (01) | MN |
0990283 | (05) | IA |
101001 | UCARE (01) | MN |
25-24765 | MEDICA CHOICE & PRIMARY (01) | MN |
296367100 | (05) | MN |
2T266BR | BCBS (01) | MN |
604516 | ARAZ (01) | MN |
A96551 | (02) | MN |
HP12955 | HEALTHPARTNERS (01) | MN |