Provider Demographics
NPI:1295449908
Name:BRANNAN, TONI DANYELL (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:DANYELL
Last Name:BRANNAN
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 N 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HUGO
Mailing Address - State:OK
Mailing Address - Zip Code:74743-3821
Mailing Address - Country:US
Mailing Address - Phone:580-326-6111
Mailing Address - Fax:
Practice Address - Street 1:211 N 3RD ST
Practice Address - Street 2:
Practice Address - City:HUGO
Practice Address - State:OK
Practice Address - Zip Code:74743-3821
Practice Address - Country:US
Practice Address - Phone:580-326-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK211141363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily