Provider Demographics
NPI:1215791611
Name:BRAUN, ZOE REBECCA
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:REBECCA
Last Name:BRAUN
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 1:1575 S MOORLAND RD APT 208
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-1566
Mailing Address - Country:US
Mailing Address - Phone:414-246-7101
Mailing Address - Fax:
Practice Address - Street 1:6330 W GREENFIELD AVE APT 102
Practice Address - Street 2:
Practice Address - City:WEST ALLIS
Practice Address - State:WI
Practice Address - Zip Code:53214-5076
Practice Address - Country:US
Practice Address - Phone:414-246-7101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Single Specialty