Individual
SHANNON B BRANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP05428
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07524868
—
MS
05
—
1336611
—
LA
Enumeration date
08/22/2008
Last updated
10/18/2013
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