Provider Demographics
NPI:1619503620
Name:SANGER, BRIANA (RN)
Entity Type:Individual
Prefix:
First Name:BRIANA
Middle Name:
Last Name:SANGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:PACELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1520 EASTLAKE AVE E APT 333
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3652
Mailing Address - Country:US
Mailing Address - Phone:425-213-4130
Mailing Address - Fax:
Practice Address - Street 1:825 EASTLAKE AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-4405
Practice Address - Country:US
Practice Address - Phone:206-552-5592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-21
Last Update Date:2020-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60536942163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology