Channing Braun
Individual provider Active NPI Specialist · Devils Lake, ND
NPI 1437814308 · NPPES record last updated Oct 28, 2024
Key facts
- NPI
- 1437814308
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- Practice address
- 200 Highway 2 W
Devils Lake, ND 58301-3532 - Phone
- (701) 665-2200
- Fax
- (701) 665-2300
- NPI assigned
- Nov 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | |||
| Specialist | 174400000X | Yes |
Addresses
Primary practice location
200 Highway 2 W
Devils Lake, ND 58301-3532
Mailing address
1130 Kelly Ave NE Apt 3
Devils Lake, ND 58301-1846
Phone (701) 333-8561
Other practice location 1
1130 Kelly Ave NE Apt 3
Devils Lake, ND 58301-1846
Phone (701) 333-8561
Other providers in Devils Lake, ND
- Erinpatricia Flaherty Bommersbach
- Abby Kathryn Borchardt
- Samantha Bounds
- Patricia J Bradley
- Shera Jean Brandvold
- Tesha Lynn Brehm
- Brekhus Wellness, PLLC
- Madisyn Lou Brekke I
- Brenna Joy Dietitian, LLC
- Kristin Ann Brodell
All providers in Devils Lake, ND · Specialist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.