Branstetter, Mary Lauretta

Branstetter, Mary Lauretta is an individual health care provider with primary practice located at 301 Professional Park Dr , Glasgow KY 42141-3487. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Branstetter, Mary Lauretta can be contacted via phone (270) 651-9696.

Contact Information

Primary practice address
301 Professional Park Dr Glasgow KY 42141-3487
Phone: (270) 651-9696
Fax: (270) 651-0385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002615 Kentucky

Profile Details

NPI number 1902875644
LBN Legal business name Branstetter, Mary Lauretta
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated May 15th, 2014 - about 10 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 1902875644 NPPES
Kentucky MEDICAID 78004363

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