Provider Demographics
NPI:1912712373
Name:BRANCH, AARON
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BRANCH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 GREENMOUNT AVE STE 300 PMB 731211
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:301-278-1312
Mailing Address - Fax:
Practice Address - Street 1:3030 GREENMOUNT AVE STE 300 PMB 731211
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:301-278-1312
Practice Address - Fax:240-414-8840
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-11
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR244418363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health