Provider Demographics
NPI:1366854572
Name:BERRY, BRIANA (CNA)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:BERRY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9545 ELLA LEE LN
Mailing Address - Street 2:APT 29
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1290
Mailing Address - Country:US
Mailing Address - Phone:281-995-6298
Mailing Address - Fax:
Practice Address - Street 1:9545 ELLA LEE LN
Practice Address - Street 2:APT 29
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1290
Practice Address - Country:US
Practice Address - Phone:281-995-6298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-21
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10087289376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10087289OtherCERTIFIED NURSING ASSISTANT