STEPHAN BRAUTIGAM CRNP NPI 1215392550

NPI Information

NPI: 1215392550
Provider Name: STEPHAN BRAUTIGAM, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: CHE SENIOR CARE THERAPY SERVICES, PC

PECOS Registration: Yes

Address:
8001 STATE RD
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 624-0797
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Stephan Brautigam, CRNP is a psychiatric/mental health nurse practitioner in Philadelphia, PA with 9 years of experience. Stephan Brautigam, CRNP NPI is 1215392550. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8001 STATE RD
PHILADELPHIA, PA
ZIP 19136-908
Phone: (215) 624-0797

The NPI 1215392550 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 4/10/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP015817	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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