Healthcare Provider Details

I. General information

NPI: 1386295541
Provider Name (Legal Business Name): CHIMERE ENJULI MONIQ BRANTON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2019
Last Update Date: 09/13/2025
Certification Date: 09/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 W MAIN ST
TURLOCK CA
95380-5107
US

IV. Provider business mailing address

1200 W MAIN ST
TURLOCK CA
95380-5107
US

V. Phone/Fax

Practice location:
  • Phone: 209-668-5388
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11004094
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNP95023166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: