Provider Demographics
NPI:1366788309
Name:BRAYNEN, YVETTE (APRN)
Entity type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:BRAYNEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:900 S PINE ISLAND RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3920
Mailing Address - Country:US
Mailing Address - Phone:561-733-4400
Mailing Address - Fax:
Practice Address - Street 1:10301 HAGEN RANCH ROAD
Practice Address - Street 2:BLDG. A, SUITE 760
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-3725
Practice Address - Country:US
Practice Address - Phone:561-733-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-19
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9267110363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL007767900Medicaid