Provider Demographics
NPI:1275809204
Name:COX, BRIANA CHERIE-ROSE (LPN)
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:CHERIE-ROSE
Last Name:COX
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 PARKBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45458-1871
Mailing Address - Country:US
Mailing Address - Phone:937-789-1500
Mailing Address - Fax:
Practice Address - Street 1:1518 VANCOUVER DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45406-4748
Practice Address - Country:US
Practice Address - Phone:937-789-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN148470164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse