MR. BRANDON MICHAEL COBURN MS RN ANP-BC NPI 1083857270

NPI Information

NPI: 1083857270
Provider Name: MR. BRANDON MICHAEL COBURN, MS, RN, ANP-BC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
210 CENTER RD APT 7
BUFFALO, NY
ZIP 14224
Phone: (716) 320-0660
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MR. Brandon Michael Coburn, MS, RN, ANP-BC is a primary care nurse practitioner in Buffalo, NY. MR. Brandon Michael Coburn, MS, RN, ANP-BC NPI is 1083857270. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 CENTER RD APT 7
BUFFALO, NY
ZIP 14224-971
Phone: (716) 320-0660

The enumeration date for this NPI number is 4/17/2009 and was last updated on 2/10/2015.

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	363LC0200X	Nurse Practitioner	Critical Care Medicine	305118	NEW YORK	No
2	363LX0106X	Nurse Practitioner	Occupational Health	305118	NEW YORK	No
3	363LP2300X	Nurse Practitioner	Primary Care	305118	NEW YORK	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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