Nicole Elizabeth Renee Brannan, CD (DONA)
Individual provider Active NPI Doula · Kasson, MN
NPI 1215745229 · NPPES record last updated Dec 21, 2024
Key facts
- NPI
- 1215745229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- License
- 15575 (MN)
- Practice address
- 63525 260TH Ave
Kasson, MN 55944-1642 - Phone
- (507) 696-8776
- NPI assigned
- Dec 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15575 | MN | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | 15575 | MN | Yes |
Addresses
Primary practice location
63525 260TH Ave
Kasson, MN 55944-1642
Mailing address
63525 260TH Ave
Kasson, MN 55944-1642
Other providers in Kasson, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.