Healthcare Provider Details

I. General information

NPI: 1821026741
Provider Name (Legal Business Name): JAMES C BRANN RN MSN CS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1578 OLD YORK RD
ABINGTON PA
19001-1709
US

IV. Provider business mailing address

1578 OLD YORK RD
ABINGTON PA
19001-1709
US

V. Phone/Fax

Practice location:
  • Phone: 215-830-8460
  • Fax: 215-830-8464
Mailing address:
  • Phone: 215-830-8460
  • Fax: 215-830-8464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberRN270786L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: