Provider Demographics
NPI:1235777517
Name:BRANHAM, ELIZABETH HOPE (APRN)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HOPE
Last Name:BRANHAM
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 WEDDINGTON BRANCH RD STE C
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41501-3296
Mailing Address - Country:US
Mailing Address - Phone:606-437-2400
Mailing Address - Fax:606-437-2401
Practice Address - Street 1:50 WEDDINGTON BRANCH RD STE C
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41501-3296
Practice Address - Country:US
Practice Address - Phone:606-437-2400
Practice Address - Fax:606-437-2401
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014057363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily