Provider Demographics
NPI:1073995643
Name:KIRSHMAN, BRIGITTE (RN, PHN)
Entity Type:Individual
Prefix:
First Name:BRIGITTE
Middle Name:
Last Name:KIRSHMAN
Suffix:
Gender:F
Credentials:RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 POSADA
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5379
Mailing Address - Country:US
Mailing Address - Phone:949-872-9817
Mailing Address - Fax:
Practice Address - Street 1:14 POSADA
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5379
Practice Address - Country:US
Practice Address - Phone:949-872-9817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95040145163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse