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Individual

COURTNEY BRANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3775 N MULFORD RD, ROCKFORD, IL 61114-5632
(779) 696-9202
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017542
IL

Other

Enumeration date
10/16/2018
Last updated
03/11/2021
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