Healthcare Provider Details

I. General information

NPI: 1255757746
Provider Name (Legal Business Name): DEBORAH BRIONES R.N., N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2014
Last Update Date: 03/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19171 COENSON CIR APT C
HUNTINGTON BEACH CA
92648-2335
US

IV. Provider business mailing address

19171 COENSON CIR APT C
HUNTINGTON BEACH CA
92648-2335
US

V. Phone/Fax

Practice location:
  • Phone: 714-843-6418
  • Fax:
Mailing address:
  • Phone: 714-843-6418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6197
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number6197
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number6197
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: