Branco, Julia

Branco, Julia is an individual health care provider with primary practice located at 1002 Peruque Crossing Ct Suite 101, O Fallon MO 63366-2362. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Branco, Julia can be contacted via phone (636) 294-5900.

Contact Information

Primary practice address
1002 Peruque Crossing Ct Suite 101 O Fallon MO 63366-2362
Phone: (636) 294-5900
Fax: (636) 294-5908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2013015686 Missouri

Profile Details

NPI number 1245669316
LBN Legal business name Branco, Julia
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Nov 13th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245669316 NPPES
Missouri MEDICAID 1245669316
Missouri Other 1245669316
Missouri Other MA1721

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