Doctor Name: | KAREN M BRANN |
NPI Number: | 1043676448 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 209014286 |
Business Practice Address: | 8600 W 168th St Orland Park, IL - 604625724 |
Business Phone Number: | 7084291306 |
Business Fax Number: | |
Mailing Address: | 8600 W 168th St, ORLAND PARK |
State: | IL |
Postal Code: | 604625724 |
Phone Number: | 7084291306 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 05/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209014286 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |