Lynette Galloway Branch, R.N., N. P/

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024053272 Issued in VA

Practice address

Virginia State University Student Health
1 Hayden Drive
Petersburg, VA 23806-0001

Phone

(804) 524-5671

Fax

(804) 524-5026

NPI assigned

Oct 6, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235606400000",
    "number": "1548411879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 HARBOUR HILL PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122123",
            "telephone_number": "804-739-9148",
            "fax_number": "804-232-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VIRGINIA STATE UNIVERSITY STUDENT HEALTH",
            "address_2": "1 HAYDEN DRIVE",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238060001",
            "telephone_number": "804-524-5671",
            "fax_number": "804-524-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "LYNETTE",
        "middle_name": "GALLOWAY",
        "name_prefix": "Mrs.",
        "credential": "R.N., N. P/",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2009-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024053272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.