Provider Demographics
NPI:1073872594
Name:WHITTEMORE, BRIANNA (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIANNA
Middle Name:
Last Name:WHITTEMORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 SUPERIOR DR STE 400
Mailing Address - Street 2:
Mailing Address - City:SUPERIOR
Mailing Address - State:CO
Mailing Address - Zip Code:80027-8656
Mailing Address - Country:US
Mailing Address - Phone:303-673-1440
Mailing Address - Fax:
Practice Address - Street 1:3 SUPERIOR DR STE 400
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:CO
Practice Address - Zip Code:80027-8656
Practice Address - Country:US
Practice Address - Phone:303-673-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0072031207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology