Individual
TARA LEIGH BRANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
139 CENTRE ST PH 120, NEW YORK, NY 10013-4559
(888) 731-8994
Mailing address
445 S FIGUEROA ST FL 31, LOS ANGELES, CA 90071-1602
(888) 731-8994
(833) 775-1861
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9218740
FL
363LF0000X
Family Nurse Practitioner
ARNP9218740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003821900
—
FL
Enumeration date
05/04/2010
Last updated
01/21/2025
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