Provider Demographics
NPI:1013330448
Name:ATLAS HEALTH ASSESSMENT LLC
Entity Type:Organization
Organization Name:ATLAS HEALTH ASSESSMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANSTRATOR
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:606-565-7977
Mailing Address - Street 1:969 W GURLEY ST
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86305-2817
Mailing Address - Country:US
Mailing Address - Phone:602-565-7977
Mailing Address - Fax:480-248-6194
Practice Address - Street 1:969 W GURLEY ST
Practice Address - Street 2:
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86305-2817
Practice Address - Country:US
Practice Address - Phone:602-565-7977
Practice Address - Fax:480-248-6194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4798363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty