Individual
HEATHER BRANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
810 FALLS CREEK DR STE B, VANDALIA, OH 45377-8600
(937) 454-0317
(937) 454-1668
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019669
OH
Other
Enumeration date
09/07/2016
Last updated
10/10/2018
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