Provider Demographics
NPI:1033881057
Name:CORNIEL, BRITTNEY BREANNA (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:BREANNA
Last Name:CORNIEL
Suffix:
Gender:F
Credentials:DNP, 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 1:2400 MELLWOOD AVE APT 806
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1065
Mailing Address - Country:US
Mailing Address - Phone:502-407-1669
Mailing Address - Fax:
Practice Address - Street 1:2400 MELLWOOD AVE APT 806
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1065
Practice Address - Country:US
Practice Address - Phone:502-407-1669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily