Provider Demographics
NPI:1265810212
Name:CIONI, BRIELLE (APN)
Entity type:Individual
Prefix:
First Name:BRIELLE
Middle Name:
Last Name:CIONI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:BRIELLE
Other - Middle Name:MARIE
Other - Last Name:REINECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4743 SE 35TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34480-1664
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4743 SE 35TH ST
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34480-1664
Practice Address - Country:US
Practice Address - Phone:608-312-9156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2022-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209012798363LF0000X
FL9405247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily