Individual
JUSTIN BRANHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2800 MAIN ST, BRIDGEPORT, CT 06606-4201
(120) 357-6600
Mailing address
1290 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4337
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10711
CT
Other
Enumeration date
07/23/2019
Last updated
06/24/2024
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