Julienne Renae Brauer, PA-C
Individual provider Active NPI Physician Assistant · Deer River, MN
NPI 1881647485 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881647485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 9643 (MN)
- Practice address
- 1025 10TH Ave NE
Deer River, MN 56636-8703 - Phone
- (218) 246-8275
- NPI assigned
- May 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1837 | WI | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9643 | MN | Yes |
Addresses
Primary practice location
1025 10TH Ave NE
Deer River, MN 56636-8703
Mailing address
1025 10TH Ave NE
Deer River, MN 56636-8703
Phone (218) 246-8275
Other providers in Deer River, MN
- Paul Conrad Andersen
- Tracey Lynn Bartholomew
- Janna Lynn Block
- Arndt Beroen Braaten
- Mary Margaret Braaten
- Susan Catherine Carol
- Jeffrey Lee Carter
- Carol Marie Church
- Kristina Lee Conner
- Deer River Dental Clinic
All providers in Deer River, MN · Physician Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.