Active NPIIndividual providerSole proprietor

Crystal L Branham, APRN

Nurse Practitioner, Psych/Mental Health in Concord, Massachusetts

NPI Number1417224239
Practice location
300 Baker Ave Ste 300, Concord, MA 01742-2124
Fax
—
Last updated
October 9, 2026

Crystal L Branham is a Nurse Practitioner, Psych/Mental Health based in Concord, MA. Crystal L Branham practices in Concord, MA and has the professional credentials of APRN. The NPI Number for Crystal L Branham is 1417224239 and holds a License No. 086065-23 (NH). The current practice location address for Crystal L Branham is 300 Baker Ave Ste 300, Concord, MA 01742-2124 and can be reached out via phone at 833-351-8255.

Provider Profile Details

NPI Number
1417224239
Provider Name
Crystal L Branham
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
300 Baker Ave Ste 300, Concord, MA 01742-2124
Phone Number
833-351-8255
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
November 22, 2011
Last Update Date
October 9, 2026
Certification Date
October 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Baker Ave Ste 300
Concord, MA 01742-2124
Zip
01742-2124
Phone Number
833-351-8255
Concord, MA 01742Get directions →

Provider Business Mailing Address Details

Address
109 W 27TH St Rm 5S
New York, NY 10001-6208
City
New York
State
NY
Zip
10001-6208
Phone Number
833-351-8255

License Information

License Number (1)
086065-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
95026946
License State (2)
CA
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
C-APN.0102125-C-NP
License State (3)
CO
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (4)
26336
License State (4)
TN
Taxonomy (4)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (5)
350979
License State (5)
NY
Taxonomy (5)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (6)
CP003104
License State (6)
SD
Taxonomy (6)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (7)
406281
License State (7)
NY
Taxonomy (7)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (8)
RN2368322
License State (8)
MA
Taxonomy (8)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
License Number (9)
53-82469-061
License State (9)
KS
Taxonomy (9)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (10)
3007228
License State (10)
KY
Taxonomy (10)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (11)
LG-0011841
License State (11)
DE
Taxonomy (11)
Nurse Practitioner, Family · 363LF0000X

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 Crystal L Branham, APRN?

The NPI number of Crystal L Branham, APRN is 1417224239. It was assigned on November 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Crystal L Branham, APRN?

Crystal L Branham, APRN is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NH under license number 086065-23.

Where does Crystal L Branham, APRN practice?

The practice location is 300 Baker Ave Ste 300, Concord, MA 01742-2124. The office can be reached at 833-351-8255 (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 1417224239 directly on the NPPES registry website.

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