Individual
MRS. DANA PARRISH BRANCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
308 COLISEUM DR STE 120, MACON, GA 31217-3859
(478) 745-6130
(478) 745-4443
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(478) 745-6130
(478) 745-4443
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN077352
GA
363LA2100X
Acute Care Nurse Practitioner
RN077352
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003225173B
—
GA
01
—
G15962A
MEDICARE PTAN
GA
Enumeration date
09/16/2019
Last updated
09/01/2020
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