Provider Demographics
NPI:1801183231
Name:DENNY, BRIANA (LPN)
Entity Type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:
Last Name:DENNY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 E HALLEY LN
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-2212
Mailing Address - Country:US
Mailing Address - Phone:516-361-7078
Mailing Address - Fax:631-851-1572
Practice Address - Street 1:36 E HALLEY LN
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-2212
Practice Address - Country:US
Practice Address - Phone:516-361-7078
Practice Address - Fax:631-851-1572
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-06
Last Update Date:2011-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306099164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse