Individual provider · Type 1 NPI
Branden Blanton, AGNP
Primary Care Nurse Practitioner · Tyler, TX
NPI number
1174084024
Active
Practice location
708 Bentley Ct
Tyler, TX 75703-4621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | AP140112 (TX) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1174084024
Branden Blanton, AGNP's National Provider Identifier is 1174084024, issued on Mar 25, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Tyler, TX. The record was last updated on Mar 25, 2019.