Provider Demographics
NPI:1093846065
Name:MCNEIL, BRIANA ELIZABETH
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:ELIZABETH
Last Name:MCNEIL
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 1:5201 RUFFIN RD
Mailing Address - Street 2:BUILDING A
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1653
Mailing Address - Country:US
Mailing Address - Phone:858-694-3504
Mailing Address - Fax:858-694-3987
Practice Address - Street 1:5201 RUFFIN RD
Practice Address - Street 2:BUILDING A
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1653
Practice Address - Country:US
Practice Address - Phone:858-694-3504
Practice Address - Fax:858-694-3987
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator