MS. SALLY ILENE BRATTON


Address: 43600 Mission Blvd # 16, Fremont, CA 94539-5847
Phone: 5106596258

MS. SALLY ILENE BRATTON (NPI# 1659397412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659397412
Entity Type Individual
Full Name MS. SALLY ILENE BRATTON
Credential FNP
Practice Address 43600 Mission Blvd # 16
Fremont
CA 94539-5847
Practice Telephone 5106596258
Practice Fax Number 5106596218
Mailing Telephone 5106596258
Mailing Fax Number 5106596218
Enumeration Date 2006-07-14
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LS0200X Nurse Practitioner
Specialization: School
232999 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 43600 MISSION BLVD # 16
City FREMONT
State CA
Zip Code 94539-5847

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Taxonomy Information

Taxonomy Code 363LS0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization School

Taxonomy Definition

Definition to come...

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1215914577 Jocelyn Lotho Nurse Practitioner 1430 San Julian St # 2, Los Angeles School District, Los Angeles, CA 90015-3142 2005-12-28
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Competitor

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City FREMONT
Zip Code 94539

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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