Provider Demographics
NPI:1932896313
Name:DO, BRIAN T (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:T
Last Name:DO
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 N HIGH ST STE C
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-6148
Mailing Address - Country:US
Mailing Address - Phone:614-344-7601
Mailing Address - Fax:
Practice Address - Street 1:53 N HIGH ST STE C
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-6148
Practice Address - Country:US
Practice Address - Phone:614-344-7601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-18
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.505826163W00000X
OH0035221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse