MEDICARE: BRYANA MON'A BRAMMER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	0002098831	VA

General Provider Information

NPI Number	:	1578425237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYANA MON'A BRAMMER

Provider Business Mailing Address
First Line	:	1032 RUGBY BLVD NW
Second Line	:	1032 RUGBY BLVD NW
City	:	ROANOKE
State	:	VA
Zip	:	24017-3812
Country	:	US
Telephone Number	:
Fax Number	:	877-241-1004

Provider Business Practice Location Address
First Line	:	1032 RUGBY BLVD NW
Second Line	:
City	:	ROANOKE
State	:	VA
Zip	:	24017-3812
Country	:	US
Telephone Number	:	443-761-0198
Fax Number	:	877-241-1001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ BRYANA MON'A BRAMMER ” Practice Location

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