Kendra Branch, LPN
Individual provider Active NPI Licensed Practical Nurse · Hernandez, NM
NPI 1336017649 · NPPES record last updated Oct 28, 2025
Key facts
- NPI
- 1336017649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 84098 (NM)
- Practice address
- 75 County Road 140
Hernandez, NM 87537-9746 - Phone
- (505) 614-6036
- NPI assigned
- Oct 28, 2025
- 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 |
|---|---|---|---|
| 84098 | NM | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse |
164W00000X | 84098 | NM | Yes |
Addresses
Primary practice location
75 County Road 140
Hernandez, NM 87537-9746
Mailing address
75 County Road 140
Hernandez, NM 87537-9746
Phone (505) 614-6036
Other providers in Hernandez, NM
All providers in Hernandez, NM · Licensed Practical Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2025. 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.