Provider Demographics
NPI:1114538550
Name:PIERRE, BRIANA NICOLE
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:NICOLE
Last Name:PIERRE
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 1:1700 WOODBURY RD APT 1104
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6017
Mailing Address - Country:US
Mailing Address - Phone:504-723-4993
Mailing Address - Fax:
Practice Address - Street 1:1700 WOODBURY RD APT 1104
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6017
Practice Address - Country:US
Practice Address - Phone:504-723-4993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-10
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21088225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist