Provider Demographics
NPI:1225297757
Name:DAY, BRIANNE NICOLE (DO)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:NICOLE
Last Name:DAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRIANNE
Other - Middle Name:NICOLE
Other - Last Name:HARBEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 4925
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50305-4925
Mailing Address - Country:US
Mailing Address - Phone:515-643-7000
Mailing Address - Fax:515-643-7001
Practice Address - Street 1:25 W HICKMAN ROAD
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-5018
Practice Address - Country:US
Practice Address - Phone:515-643-7000
Practice Address - Fax:515-643-7001
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA4049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine