Provider Demographics
NPI:1659096725
Name:WHITE, BRIANA LEE (DNP, RN)
Entity Type:Individual
Prefix:DR
First Name:BRIANA
Middle Name:LEE
Last Name:WHITE
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 402
Mailing Address - Street 2:
Mailing Address - City:WILMOT
Mailing Address - State:NH
Mailing Address - Zip Code:03287-0402
Mailing Address - Country:US
Mailing Address - Phone:603-689-6312
Mailing Address - Fax:
Practice Address - Street 1:88 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-7036
Practice Address - Country:US
Practice Address - Phone:888-300-8853
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH066462-21163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health