Branham, Susan L
Branham, Susan L is an individual health care provider with primary practice located at 107 W 20Th St , Mount Pleasant TX 75455-2323. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Branham, Susan L can be contacted via phone (903) 575-7856.Contact Information
Primary practice address
107 W 20Th St
Mount Pleasant TX 75455-2323
Phone: (903) 575-7856
Fax: (903) 572-3407
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 638747 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 638747 | Texas |
Profile Details
NPI number | 1154574747 |
---|---|
LBN Legal business name | Branham, Susan L |
Credentials | RN, ANP-BC, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 28th, 2008 |
Last updated | May 18th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154574747 | NPPES |
Texas | Other | NP 0439 | MEDICARE PTAN |
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