Sharon Lynn Braaten, RN, PHN

Individual provider Active NPI Registered Nurse · Glenwood, MN

NPI 1659604106 · NPPES record last updated Sep 16, 2009

Key facts

NPI
1659604106
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R0852876 (MN)
Practice address
211 E Minnesota Ave
Suite 100
Glenwood, MN 56334-1666
Phone
(320) 634-5720
Fax
(320) 634-0159
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R0852876MNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pope County Public Health Nursing Service Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R0852876 MN Yes

Addresses

Primary practice location

211 E Minnesota Ave
Suite 100
Glenwood, MN 56334-1666

Mailing address

211 E Minnesota Ave
Suite 100
Glenwood, MN 56334-1666
Phone (320) 634-5720

Other providers in Glenwood, MN

All providers in Glenwood, MN · Registered Nurse in Minnesota

Sources for this page

Verify at the official NPI Registry.