Provider Demographics
NPI:1124093182
Name:JAMES, BREAHNA R (APRN)
Entity type:Individual
Prefix:MRS
First Name:BREAHNA
Middle Name:R
Last Name:JAMES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:618 ROCKFORD STREET
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-1941
Mailing Address - Country:US
Mailing Address - Phone:316-258-8060
Mailing Address - Fax:316-681-3561
Practice Address - Street 1:630 N ST. FRANCI'S STREET
Practice Address - Street 2:SUITE C
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67214-3862
Practice Address - Country:US
Practice Address - Phone:316-263-1623
Practice Address - Fax:316-263-2154
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS45730363L00000X
KS53-45-730-112363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner