Individual
MS. ELLEN A. BRANKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4612 N HABANA AVE, TAMPA, FL 33614-7101
(813) 875-9000
(813) 874-3278
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1459232
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307182100
—
FL
01
—
P01481889
RAILROAD MEDICARE
FL
Enumeration date
12/18/2006
Last updated
04/12/2017
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