Provider Demographics
NPI:1326639071
Name:BRIA NURSE PRACTITIONER CONSULTANTS INC
Entity Type:Organization
Organization Name:BRIA NURSE PRACTITIONER CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADULT NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ANILTTA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEX
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-FPA
Authorized Official - Phone:630-884-0124
Mailing Address - Street 1:PO BOX 878
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-0878
Mailing Address - Country:US
Mailing Address - Phone:630-884-0124
Mailing Address - Fax:630-303-9810
Practice Address - Street 1:5801 S CASS AVE
Practice Address - Street 2:
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-2397
Practice Address - Country:US
Practice Address - Phone:630-884-1024
Practice Address - Fax:630-303-9810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Single Specialty