Individual provider · Type 1 NPI

Conner Ellis Brannan, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1245920040 Active

Practice location

3000 New Bern Ave
Raleigh, NC 27610-1231

Call (919) 350-8000 Map

Mailing address

6197 Beale Loop
Raleigh, NC 27616-3483

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-13475 (NC)
Physician Assistant 363A00000X0010-13475 (NC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

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About NPI 1245920040

Conner Ellis Brannan, PA-C's National Provider Identifier is 1245920040, issued on May 15, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Dec 1, 2023.