Provider Demographics
NPI:1346647807
Name:SMOLENSKI, BRIANNE (NP)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:SMOLENSKI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-6546
Mailing Address - Country:US
Mailing Address - Phone:732-343-3697
Mailing Address - Fax:
Practice Address - Street 1:254 BRICK BLVD STE 8
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-7105
Practice Address - Country:US
Practice Address - Phone:732-686-9144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-28
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001132363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care