Healthcare Provider Details

I. General information

NPI: 1881873206
Provider Name (Legal Business Name): DOROTHY ANN BRATTON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2007
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 SOLANO ST
CORNING CA
96021-2713
US

IV. Provider business mailing address

2126 SOLANO ST
CORNING CA
96021-2713
US

V. Phone/Fax

Practice location:
  • Phone: 530-824-4002
  • Fax:
Mailing address:
  • Phone: 530-824-4002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA18731
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: