Healthcare Provider Details

I. General information

NPI: 1881532521
Provider Name (Legal Business Name): BRIANNA NICOLE O'BRIEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1235 W TOWN AND COUNTRY RD APT 2320
ORANGE CA
92868-4634
US

IV. Provider business mailing address

1235 W TOWN AND COUNTRY RD APT 2320
ORANGE CA
92868-4634
US

V. Phone/Fax

Practice location:
  • Phone: 626-224-7007
  • Fax:
Mailing address:
  • Phone: 626-224-7007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number95326153
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: