Provider Demographics
NPI:1508310491
Name:SINATRA, BRIANA (ND)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:SINATRA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 PETALUMA BLVD N
Mailing Address - Street 2:B
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94952-2847
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:846 REICHERT AVE
Practice Address - Street 2:15
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-4178
Practice Address - Country:US
Practice Address - Phone:415-634-8667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA808175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath