| NPI | 1568908929 | 
|---|---|
| Former Name | BREANN NICOLE ROWLEY/BANFORD | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 7776134-4405) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 7776134-3102) | 
| Enumeration Date | 2017-01-10 | 
| Last Update Date | 2024-08-07 |