Active NPIIndividual provider

Stephan Brautigam, CRNP

Nurse Practitioner, Psych/Mental Health in Lawrenceville, New Jersey

NPI Number1215392550
Practice location
4 Princess RD Ste 206, Lawrenceville, NJ 08648-2322
Fax
—
Last updated
September 5, 2024

Stephan Brautigam is a Nurse Practitioner, Psych/Mental Health based in Lawrenceville, NJ. Stephan Brautigam practices in Lawrenceville, NJ and has the professional credentials of CRNP. The NPI Number for Stephan Brautigam is 1215392550 and holds a License No. SP015817 (PA). The current practice location address for Stephan Brautigam is 4 Princess RD Ste 206, Lawrenceville, NJ 08648-2322 and can be reached out via phone at 609-482-3701.

Provider Profile Details

NPI Number
1215392550
Provider Name
Stephan Brautigam
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
4 Princess RD Ste 206, Lawrenceville, NJ 08648-2322
Phone Number
609-482-3701
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
December 30, 2015
Last Update Date
September 5, 2024
Certification Date
September 5, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
4 Princess RD Ste 206
Lawrenceville, NJ 08648-2322
Zip
08648-2322
Phone Number
609-482-3701
Lawrenceville, NJ 08648Get directions →

Provider Business Mailing Address Details

Address
4 Princess RD Ste 206
Lawrenceville, NJ 08648-2322
City
Lawrenceville
State
NJ
Zip
08648-2322
Phone Number
609-482-3701

License Information

License Number
SP015817
License State
PA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stephan Brautigam, CRNP?

The NPI number of Stephan Brautigam, CRNP is 1215392550. It was assigned on December 30, 2015 and is currently active in the NPPES registry.

What is the specialty of Stephan Brautigam, CRNP?

Stephan Brautigam, CRNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in PA under license number SP015817.

Where does Stephan Brautigam, CRNP practice?

The practice location is 4 Princess RD Ste 206, Lawrenceville, NJ 08648-2322. The office can be reached at 609-482-3701 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215392550 directly on the NPPES registry website.

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