Provider Demographics
NPI:1275362030
Name:O'BRYAN, BROOKE-ANNE ARMSTRONG (SRNA)
Entity type:Individual
Prefix:
First Name:BROOKE-ANNE
Middle Name:ARMSTRONG
Last Name:O'BRYAN
Suffix:
Gender:F
Credentials:SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13433 FOREST SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40245-2031
Mailing Address - Country:US
Mailing Address - Phone:502-428-5518
Mailing Address - Fax:
Practice Address - Street 1:1 LOUIE B NUNN DR
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:KY
Practice Address - Zip Code:41099-9993
Practice Address - Country:US
Practice Address - Phone:859-972-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program