Individual provider · Type 1 NPI

Larina Branch, DNP-FNP-BC

Family Nurse Practitioner · Hazel Crest, IL

NPI number 1144678905 Active

Practice location

3330 W 177th St Ste 3H
Hazel Crest, IL 60429-2186

Call (708) 816-4418 Map

Fax (949) 818-7145

Mailing address

18300 S. Halsted St, Suite B #255
Glenwood, IL 60425

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center 261QP2300X277002770 (IL)
Family Nurse Practitioner Primary 363LF0000X277002770 (IL)

Family Nurse Practitioner: Definition to come...

3 other providers at this address

Other family nurse practitioner providers in Hazel Crest

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About NPI 1144678905

Larina Branch, DNP-FNP-BC's National Provider Identifier is 1144678905, issued on Jun 1, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hazel Crest, IL. The record was last updated on Jul 31, 2026.