Healthcare Provider Details

I. General information

NPI: 1760614002
Provider Name (Legal Business Name): KRISTEN ANN BRANSBY DNP, CPNP-PC, PMHS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN ANN DANESE ALTDOERFFER

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1540 EDEN RD
LANCASTER PA
17601-5258
US

IV. Provider business mailing address

1540 EDEN RD
LANCASTER PA
17601-5258
US

V. Phone/Fax

Practice location:
  • Phone: 484-999-0973
  • Fax: 717-670-9973
Mailing address:
  • Phone: 610-235-9555
  • Fax: 610-544-1410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP012902
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP012902
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberSPO12902
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: