Provider Demographics
NPI:1215211271
Name:BRINER, DONNA J (RN)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:J
Last Name:BRINER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 OAK ST
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:NY
Mailing Address - Zip Code:12822-1203
Mailing Address - Country:US
Mailing Address - Phone:518-654-2960
Mailing Address - Fax:518-654-6235
Practice Address - Street 1:105 OAK ST
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:NY
Practice Address - Zip Code:12822-1203
Practice Address - Country:US
Practice Address - Phone:518-654-2960
Practice Address - Fax:518-654-6235
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY368394-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool