Individual
BRENA JONSAN BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5556 PRAIRIE SCHOONER DR, COLORADO SPRINGS, CO 80923-8771
(719) 551-0628
Mailing address
5556 PRAIRIE SCHOONER DR, COLORADO SPRINGS, CO 80923-8771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0995451-NP
CO
Other
Enumeration date
03/20/2020
Last updated
12/30/2020
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