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Stephanie D Branch, APN
Family Nurse Practitioner in Salem, Illinois
NPI 1508134396

Stephanie D Branch is a Family Nurse Practitioner based in Centralia, IL and is specialized in Family. Stephanie D Branch practices in Salem, IL and has the professional credentials of APN. The NPI Number for Stephanie D Branch is 1508134396 and holds a License No. 209.009208 (Illinois).

The current practice location address for Stephanie D Branch is 1201 Ricker Rd, Salem, IL and can be reached out via phone at 618-548-3194.

Location: 1201 Ricker Rd, Salem, IL, 62801-9569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508134396
Provider Name
Stephanie D Branch
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
1201 Ricker Rd, Salem, IL, 62801-9569
Phone Number
618-548-3194
Fax Number
Provider Enumeration Date
12/07/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1201 Ricker Rd
City
Salem
State
Illinois
Zip
62881-4263
Phone Number
618-548-3194
Fax Number
person
Provider Business Mailing Address Details
Address
1201 Ricker Rd
City
Salem
State
Illinois
Zip
62881-4263
Phone Number
618-548-3194
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.009208 (Illinois)
Definition
Definition to come...
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