Individual
STEPHANIE BRANCHEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
636 RAYMOND DR STE 205, NAPERVILLE, IL 60563-9791
(630) 717-2300
(630) 717-9638
Mailing address
636 RAYMOND DR STE 205, NAPERVILLE, IL 60563-9791
(630) 717-2300
(630) 717-9638
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209023605
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209023605
—
IL
Enumeration date
11/18/2021
Last updated
11/18/2021
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