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NPI 1992416267 · live from the CMS NPI Registry

Daniel Lee Branzburg, FNP-C

Nurse Practitioner, Family in Wellsboro, PA. National Provider Identifier 1992416267, active.

NPI record

NPI1992416267 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location7 Water St, Wellsboro, PA 16901
Practice phone570-724-1010
Mailing address45 Mud Creek Rd, Troy, PA 16947
EnumeratedDecember 7, 2022
Last updatedFebruary 15, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Registered Nurse, General Practice163WG0000XRN654261 (PA)
Nurse Practitioner, Family primary363LF0000XSP026995 (PA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.