Provider Demographics
NPI:1598846875
Name:BRANCH, PATRICIA W (CFNP)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:W
Last Name:BRANCH
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
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Mailing Address - Street 1:704 AUTUMN TRCE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-1660
Mailing Address - Country:US
Mailing Address - Phone:757-259-3258
Mailing Address - Fax:757-220-1953
Practice Address - Street 1:5249 OLDE TOWNE RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-8111
Practice Address - Country:US
Practice Address - Phone:757-259-3258
Practice Address - Fax:757-220-1953
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0024053105363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA016776M58Medicare PIN