Provider Demographics
NPI:1508518929
Name:CALABRIA, BRIANNE (IHP)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:CALABRIA
Suffix:
Gender:F
Credentials:IHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 ASHTON PARC
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-7321
Mailing Address - Country:US
Mailing Address - Phone:732-894-9288
Mailing Address - Fax:
Practice Address - Street 1:246 ASHTON PARC
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-7321
Practice Address - Country:US
Practice Address - Phone:732-894-9288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date: