Karen Branch
Individual provider Active NPI Licensed Practical Nurse · Hannibal, MO
NPI 1477077147 · NPPES record last updated Aug 3, 2017
Key facts
- NPI
- 1477077147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2003026468 (MO)
- Practice address
- 141 Communication Dr
Hannibal, MO 63401-3670 - Phone
- (573) 603-1460
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2003026468 | MO | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2003026468 | MO | Yes |
Addresses
Primary practice location
141 Communication Dr
Hannibal, MO 63401-3670
Mailing address
141 Communication Dr
Hannibal, MO 63401-3670
Other providers in Hannibal, MO
- Boone Supported Living, LLC
- Misty D Bowen
- Bowling Green Arthritis & Rheumatology Clinic P C
- Carrol Leann Boxerman
- Nicole Suzanne Bradshaw
- Lauren N. Brandenburger
- Chad K Brands
- Brent C Smola, PC
- Kara Gene Brewer
- Sara Elizabeth Brooks
All providers in Hannibal, MO · Licensed Practical Nurse in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2017. 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.