Brannon, Regina

Brannon, Regina is an individual health care provider with primary practice located at 75 Sockanosset Cross Rd Suite 100, Cranston RI 02920-5558. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Brannon, Regina can be contacted via phone (401) 946-6200.

Contact Information

Primary practice address
75 Sockanosset Cross Rd Suite 100 Cranston RI 02920-5558
Phone: (401) 946-6200
Fax: (401) 275-1992
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NPP13640 Rhode Island

Profile Details

NPI number 1326033457
LBN Legal business name Brannon, Regina
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Sep 16th, 2013 - 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 1326033457 NPPES
Rhode Island Other 709004045 GROUP MEDICARE
Rhode Island MEDICAID 9002852 GROUP MEDICARE

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