Individual
LAUREN MILBY DANIEL BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 BOSTON PL, BOSTON, MA 02108-4407
(617) 256-4071
Mailing address
123 N MAPLE ST, MOORESVILLE, NC 28115-2557
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
252625
NC
363LF0000X
Family Nurse Practitioner
Primary
5010679
NC
Other
Enumeration date
05/12/2018
Last updated
12/01/2023
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