Brannon, Dana A.

Brannon, Dana A. is an individual health care provider with primary practice located at 1020 Anderson Dr Suite 203, Aberdeen WA 98520-1055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brannon, Dana A. can be contacted via phone (360) 533-6063.

Contact Information

Primary practice address
1020 Anderson Dr Suite 203 Aberdeen WA 98520-1055
Fax: (360) 533-2204
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP30004226 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201705445NP-PP Oregon

Profile Details

NPI number 1386732014
LBN Legal business name Brannon, Dana A.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 6th, 2017 - about 7 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 1386732014 NPPES
Washington MEDICAID 9629130

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