Individual
NICOLE BRANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
138 CONANT ST, BEVERLY, MA 01915-1665
(978) 927-5254
(978) 921-1418
Mailing address
280 MERRIMACK ST STE 311, LAWRENCE, MA 01843-1779
(978) 691-5690
(978) 691-5693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAT0059
MA
Other
Enumeration date
01/16/2014
Last updated
10/18/2017
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