Samantha L Branson, FNP Valid NPI
Individual provider · Family Nurse Practitioner · O Fallon, MO
- NPI
- 1386186732
- Type
- Individual (Type 1)
- Primary specialty
- Family Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LF0000X
- License number
- 2016035534 (MO)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-11-15
- Last updated
- 2020-10-29
Practice location
1101 Highway K
O Fallon, MO 63366-8431
(636) 379-6363