Individual
MARY DANIELLE BRANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
160 E SW 59TH ST, MUSTANG, OK 73064-4722
(903) 340-5187
Mailing address
PO BOX 891265, OKLAHOMA CITY, OK 73189-1265
(405) 757-7818
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
222482
OK
Other
Enumeration date
06/11/2025
Last updated
09/09/2025
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