Branch, Karen Michelle
Branch, Karen Michelle is an individual health care provider with primary practice located at 2210 W Main St , Russellville AR 72801-2760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Branch, Karen Michelle can be contacted via phone (479) 968-8940.Contact Information
Primary practice address
2210 W Main St
Russellville AR 72801-2760
Phone: (479) 968-8940
Fax: (479) 968-8901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | A003317 | Arkansas |
Profile Details
| NPI number | 1013241876 |
|---|---|
| LBN Legal business name | Branch, Karen Michelle |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2009 |
| Last updated | Nov 25th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013241876 | NPPES |
| Arkansas | MEDICAID | 187259758 | |
| Arkansas | Other | 710808809 |
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