Provider Demographics
NPI:1912299298
Name:CAHILL, BRIAN PATRICK (RN)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:PATRICK
Last Name:CAHILL
Suffix:
Gender:M
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:CMR 411 BOX 6239
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09112-0063
Mailing Address - Country:US
Mailing Address - Phone:503-381-3243
Mailing Address - Fax:
Practice Address - Street 1:CMR 411
Practice Address - Street 2:BOX 6239
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09112-1111
Practice Address - Country:US
Practice Address - Phone:503-381-3243
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200340666RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse