Provider Demographics
NPI:1336589498
Name:BREAHNA, MARIA SIMONA (RN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:SIMONA
Last Name:BREAHNA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9411 BIDDULPH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-2603
Mailing Address - Country:US
Mailing Address - Phone:216-749-5028
Mailing Address - Fax:
Practice Address - Street 1:9411 BIDDULPH RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-2603
Practice Address - Country:US
Practice Address - Phone:216-749-5028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH331435163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse