person
Crystal L Branham, APRN
Family Nurse Practitioner in Pikeville, Kentucky
NPI 1417224239

Crystal L Branham is a Family Nurse Practitioner based in Pikeville, KY and is specialized in Family. Crystal L Branham practices in Pikeville, KY and has the professional credentials of APRN. The NPI Number for Crystal L Branham is 1417224239 and holds a License No. 3007228 (Kentucky).

The current practice location address for Crystal L Branham is 174 W Cedar Dr, Pikeville, KY and can be reached out via phone at 606-794-5206 and via fax at 606-754-5796.

Location: 174 W Cedar Dr, Pikeville, KY, 41501-2015
person
Provider Profile Details
NPI Number
1417224239
Provider Name
Crystal L Branham
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
174 W Cedar Dr, Pikeville, KY, 41501-2015
Phone Number
606-794-5206
Fax Number
606-754-5796
Provider Enumeration Date
11/22/2011
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2011013543 01 KY AMERICAN NURSES /FAMILY NURSE PRACTITIONER
3007228 01 KY KENTUCKY APRN LICENSURE
7100196230 05 KY
institution
Provider Business Practice Location Address Details
Address
174 W Cedar Dr
City
State
Zip
41501-2015
Phone Number
606-794-5206
Fax Number
606-754-5796
person
Provider Business Mailing Address Details
Address
174 W Cedar Dr
City
State
Zip
41501-2015
Phone Number
606-794-5206
Fax Number
606-754-5796
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
53-82469-061 (Kansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
3007228 (Kentucky)
Definition
Definition to come...
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