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KAYLA BRANAM
NPI 1114389087
Nurse Practitioner - Family in Green Bay, WI

Active since March 22, 2016
2710 EXECUTIVE DR, GREEN BAY, WI 54304(920) 496-4700 Get Directions Write a Review

NPPES record last updated: October 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 12, 2016, Jun 20, 2016, Mar 22, 2016 (3 updates tracked since 2016).

About Kayla Branam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAYLA BRANAM (NPI 1114389087) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (7010-33) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1114389087
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA BRANAM
Location Address2710 EXECUTIVE DRGreen Bay, WI 54304-5496
Mailing Address1686 Eisenhower RdDe Pere, WI 54115-8145 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorNo
Enumeration DateMarch 22, 2016
Last NPPES UpdateOctober 12, 20163 updates tracked since enumeration
✔ NPI 1114389087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 7010-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 222263 - 30 (WI)
2710 EXECUTIVE DR, Green Bay, WI 54304
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREVEA REGIONAL SERVICES, INC.
Family Medicine
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
General Practice
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 433-8287
PREVEA CLINIC, INC.
Internal Medicine
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
DANIELLE KALLIN
Specialist/Technologist (Athletic Trainer)
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
LAURA M NELSON MD
Internal Medicine
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
ST. VINCENT HOSPITAL OF THE HOSPITAL SISTERS-THIRD ORDER OF ST. FRANCI
Family Medicine
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kayla Branam's NPI number?

The NPI number for Kayla Branam is 1114389087. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Kayla Branam located?

Kayla Branam practices at 2710 Executive Dr, Green Bay, WI 54304. The listed phone number is (920) 496-4700.

What is Kayla Branam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kayla Branam was last updated on October 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.