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NPI Code Detail

MEDICARE: DR. JULIA ANN BRANN NP, D.MIN.

MEDICARE: DR. JULIA ANN BRANN NP, D.MIN.
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner85920CO

General Provider Information

NPI Number : 1366548133
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIA ANN BRANN NP, D.MIN.
Provider Business Mailing Address
First Line : 1115 ELKTON DR STE 300
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3597
Country : US
Telephone Number : 719-373-2075
Fax Number : 719-434-9811
Provider Business Practice Location Address
First Line : 1115 ELKTON DR STE 300
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-3597
Country : US
Telephone Number : 719-373-2075
Fax Number : 719-434-9811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 11/07/2019

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