Provider Demographics
NPI:1215738885
Name:BRAATZ, ROXANNE LYNN
Entity type:Individual
Prefix:
First Name:ROXANNE
Middle Name:LYNN
Last Name:BRAATZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 S NORTH CURTICE RD
Mailing Address - Street 2:
Mailing Address - City:OREGON
Mailing Address - State:OH
Mailing Address - Zip Code:43616-5400
Mailing Address - Country:US
Mailing Address - Phone:419-466-5107
Mailing Address - Fax:
Practice Address - Street 1:965 S NORTH CURTICE RD
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-5400
Practice Address - Country:US
Practice Address - Phone:419-466-5107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRJ547241376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker