Provider Demographics
NPI:1790576890
Name:FITCH, BRIHANNA CARI (NP)
Entity type:Individual
Prefix:
First Name:BRIHANNA
Middle Name:CARI
Last Name:FITCH
Suffix:
Gender:X
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 PRINCE ST APT 304
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-1478
Mailing Address - Country:US
Mailing Address - Phone:716-698-6074
Mailing Address - Fax:
Practice Address - Street 1:122 WEST AVE STE 6B
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-1225
Practice Address - Country:US
Practice Address - Phone:585-391-3040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF432466363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care