Provider Demographics
NPI:1750072419
Name:ORRICO, BRIANA MIA (APRN, WHNP-BC, CNM)
Entity type:Individual
Prefix:MS
First Name:BRIANA
Middle Name:MIA
Last Name:ORRICO
Suffix:
Gender:F
Credentials:APRN, WHNP-BC, CNM
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:MIA
Other - Last Name:NICOLOPOULOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3677
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-3677
Mailing Address - Country:US
Mailing Address - Phone:603-577-7900
Mailing Address - Fax:603-577-5354
Practice Address - Street 1:8 PROSPECT ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3925
Practice Address - Country:US
Practice Address - Phone:603-577-5353
Practice Address - Fax:603-577-5354
Is Sole Proprietor?:No
Enumeration Date:2023-05-15
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH064583-23367A00000X, 367A00000X
NH367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife