| Doctor Name: | NICOLE MARIE BRANNING |
| NPI Number: | 1225286388 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | SC005984 |
| Business Practice Address: | 203 Foote Ave Duryea, PA - 186421408 |
| Business Phone Number: | 5704574560 |
| Business Fax Number: | 5704574562 |
| Mailing Address: | 205 Hampshire Dr, JEFFERSON TOWNSHIP |
| State: | PA |
| Postal Code: | 184363371 |
| Phone Number: | 5704708694 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2008 |
| NPI Last Update Date: | 01/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC005984 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |