Provider Demographics
NPI:1841010782
Name:BRILEY-BRAY, DEVONA CHANAY
Entity type:Individual
Prefix:MRS
First Name:DEVONA
Middle Name:CHANAY
Last Name:BRILEY-BRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 AVA WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-2201
Mailing Address - Country:US
Mailing Address - Phone:757-777-5486
Mailing Address - Fax:
Practice Address - Street 1:3900 AVA WAY
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-2201
Practice Address - Country:US
Practice Address - Phone:757-777-5486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001278814163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse