KAYLA BRANAM NPI 1114389087

NPI Information

NPI: 1114389087
Provider Name: KAYLA BRANAM
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2710 EXECUTIVE DR
GREEN BAY, WI
ZIP 54304
Phone: (920) 496-4700
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Kayla Branam is a family nurse practitioner in Green Bay, WI. Kayla Branam NPI is 1114389087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2710 EXECUTIVE DR
GREEN BAY, WI
ZIP 54304-496
Phone: (920) 496-4700

The NPI 1114389087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2016 and was last updated on 10/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		222263 - 30	WISCONSIN	No
2	363LF0000X	Nurse Practitioner	Family	7010-33	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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