Provider Demographics
NPI:1275985707
Name:BRIAND, COLLEEN PATRICIA (NP-C)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:PATRICIA
Last Name:BRIAND
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-434-6712
Mailing Address - Fax:321-409-6812
Practice Address - Street 1:1223 GATEWAY DR STE 1A
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-2607
Practice Address - Country:US
Practice Address - Phone:321-434-6712
Practice Address - Fax:321-409-6812
Is Sole Proprietor?:No
Enumeration Date:2016-07-08
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9350022363LF0000X
FLRN 9350022363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLIR777ZOtherMEDICARE HF