Provider Demographics
NPI:1760080162
Name:MEADOWS, BRIANNA SKYE
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:SKYE
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 PALERMO RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHLAND
Mailing Address - State:WV
Mailing Address - Zip Code:25506-9359
Mailing Address - Country:US
Mailing Address - Phone:304-524-9701
Mailing Address - Fax:
Practice Address - Street 1:74 PALERMO RD
Practice Address - Street 2:
Practice Address - City:BRANCHLAND
Practice Address - State:WV
Practice Address - Zip Code:25506-9359
Practice Address - Country:US
Practice Address - Phone:304-524-9701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant