Provider Demographics
NPI:1184962995
Name:BRAUN, CASEY L (PAC)
Entity type:Individual
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First Name:CASEY
Middle Name:L
Last Name:BRAUN
Suffix:
Gender:F
Credentials:PAC
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:16 WOODBINE LANE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-8525
Practice Address - Country:US
Practice Address - Phone:570-214-9631
Practice Address - Fax:570-214-9828
Is Sole Proprietor?:No
Enumeration Date:2013-01-29
Last Update Date:2020-08-17
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Provider Licenses
StateLicense IDTaxonomies
PAMA055972363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant