Provider Demographics
NPI:1518743442
Name:BATCHELOR, BRIANNA REGINE (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:REGINE
Last Name:BATCHELOR
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3674 SANDPIPER WAY
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92823-1045
Mailing Address - Country:US
Mailing Address - Phone:562-447-3223
Mailing Address - Fax:
Practice Address - Street 1:3674 SANDPIPER WAY
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92823-1045
Practice Address - Country:US
Practice Address - Phone:562-447-3223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA236366367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife