Individual
LAURA ALEXIS BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1001 SAINT JOSEPH LN, LONDON, KY 40741-8345
(606) 330-6000
(606) 330-7825
Mailing address
401 E ROBINSON ST, UNIT 403, ORLANDO, FL 32801-4331
(407) 394-5223
(866) 645-4229
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3000063
KY
367500000X
Certified Registered Nurse Anesthetist
ARNP 0024165709
VA
367500000X
Certified Registered Nurse Anesthetist
ARNP 451472
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP 711364
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02157
BLUE SHIELD
FL
05
—
305050900
—
FL
Enumeration date
09/14/2005
Last updated
11/01/2012
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