Provider Demographics
NPI:1306416599
Name:DORSI, BRIANNA L (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:L
Last Name:DORSI
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLINIC #00207
Mailing Address - Street 2:1620 PRESIDENT AVE
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720-7148
Mailing Address - Country:US
Mailing Address - Phone:508-672-2403
Mailing Address - Fax:
Practice Address - Street 1:CLINIC #00207
Practice Address - Street 2:1620 PRESIDENT AVE
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-7148
Practice Address - Country:US
Practice Address - Phone:508-672-2403
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2318613163WC0400X, 363LF0000X
RIINPROCESS363LF0000X
RIAPRN02753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0400XNursing Service ProvidersRegistered NurseCase Management