Provider Demographics
NPI:1083345151
Name:DEFRANC, BRIANICA
Entity Type:Individual
Prefix:MRS
First Name:BRIANICA
Middle Name:
Last Name:DEFRANC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5399 RIVER STONE WAY
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-7024
Mailing Address - Country:US
Mailing Address - Phone:561-209-4206
Mailing Address - Fax:
Practice Address - Street 1:5399 RIVER STONE WAY
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:FL
Practice Address - Zip Code:33470-7024
Practice Address - Country:US
Practice Address - Phone:561-209-4206
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula