Provider Demographics
NPI:1376679290
Name:BRANNOCK, ANNE MARIE (RN)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MARIE
Last Name:BRANNOCK
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Gender:F
Credentials:RN
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Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-816-6660
Mailing Address - Fax:301-816-6308
Practice Address - Street 1:10500 SUMMIT AVENUE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895
Practice Address - Country:US
Practice Address - Phone:301-897-2500
Practice Address - Fax:301-897-2333
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2021-08-11
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Provider Licenses
StateLicense IDTaxonomies
DCRN52647363L00000X
MDR096840363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner