Provider Demographics
NPI:1366013195
Name:BRINGAS, GEMILYN E (BSN, RN, PHN, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:GEMILYN
Middle Name:E
Last Name:BRINGAS
Suffix:
Gender:F
Credentials:BSN, RN, PHN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 ASHBY AVE RM 1190
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2067
Mailing Address - Country:US
Mailing Address - Phone:510-204-6546
Mailing Address - Fax:510-204-6005
Practice Address - Street 1:2450 ASHBY AVE RM 1190
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2067
Practice Address - Country:US
Practice Address - Phone:510-204-6546
Practice Address - Fax:510-204-6005
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA520528163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant