Heather Marie Branham
Licensed Practical Nurse in Glendale, AZ. Individual provider (NPI-1).
NPI number1295910420
StatusActive
Last updated in NPPESJan 7, 2008
Details
- NPI
- 1295910420
- Entity type
- Individual (NPI-1)
- Name
- Heather Marie Branham
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 7, 2008
- Last updated
- Jan 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | LP040693 | AZ | Yes |
Practice location
7301 N 58th AveGlendale, AZ 85301-1893
Phone 623-842-8148 · Fax 623-435-9404
Mailing address
7301 N 58th AveGlendale, AZ 85301-1893
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All 84 Licensed Practical Nurse providers in Glendale · All 7,642 providers in Glendale
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