Branum, Faye Alicia

Branum, Faye Alicia is an individual health care provider with primary practice located at 2865 Churn Creek Rd , Redding CA 96002-1117. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Branum, Faye Alicia can be contacted via phone (530) 226-7419.

Contact Information

Primary practice address
2865 Churn Creek Rd Redding CA 96002-1117
Phone: (530) 226-7419
Fax: (530) 224-9433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2012025737 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 52974 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 52974 California

Profile Details

NPI number 1801145321
LBN Legal business name Branum, Faye Alicia
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated May 9th, 2016 - about 8 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 1801145321 NPPES
Illinois MEDICAID 490903974

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