Provider Demographics
NPI:1336551019
Name:SYMONDS, BRIANNE MARIE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNE
Middle Name:MARIE
Last Name:SYMONDS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:BRIANNE
Other - Middle Name:MARIE
Other - Last Name:MCCAIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:123 CONHOCTON ST
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-2959
Practice Address - Country:US
Practice Address - Phone:607-973-8600
Practice Address - Fax:607-962-5102
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338971-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner