Individual
MRS. RACHEL DIANE BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6438 WILMINGTON PIKE, DAYTON, OH 45459-7022
(937) 848-4850
(937) 848-4858
Mailing address
6438 WILMINGTON PIKE STE 300, CENTERVILLE, OH 45459-7021
(937) 848-4850
(937) 848-4858
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA10050NP
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA10050NP
OH
363LW0102X
Women's Health Nurse Practitioner
RN 315363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA10050NP
OH MEDICAL LICENSE
OH
Enumeration date
04/16/2008
Last updated
11/20/2020
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