Branham, Crystal L
Branham, Crystal L is an sole proprietor health care provider with primary practice located at 300 Baker Ave Ste 300 , Concord MA 01742-2124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Branham, Crystal L can be contacted via phone (833) 351-8255.Contact Information
Primary practice address
300 Baker Ave Ste 300
Concord MA 01742-2124
Phone: (833) 351-8255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2368322 | Massachusetts |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 53-82469-061 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 3007228 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | C-APN.0102125-C-NP | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 350979 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | CP003104 | South Dakota |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3007228 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 086065-23 | New Hampshire |
Profile Details
| NPI number | 1417224239 |
|---|---|
| LBN Legal business name | Branham, Crystal L |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 22nd, 2011 |
| Last updated | Jul 23rd, 2026 - about 3 months 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 | 1417224239 | NPPES |
| Kentucky | Other | 2011013543 | AMERICAN NURSES /FAMILY NURSE PRACTITIONER |
| Kentucky | Other | 3007228 | AMERICAN NURSES /FAMILY NURSE PRACTITIONER |
| Kentucky | MEDICAID | 7100196230 | AMERICAN NURSES /FAMILY NURSE PRACTITIONER |
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