Healthcare Provider Details

I. General information

NPI: 1235957341
Provider Name (Legal Business Name): BRIANA WRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANA DAWSON

II. Dates (important events)

Enumeration Date: 09/27/2024
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 E PALMDALE BLVD STE 533-A1
PALMDALE CA
93550-2374
US

IV. Provider business mailing address

533 E PALMDALE BLVD STE 533-A1
PALMDALE CA
93550-2374
US

V. Phone/Fax

Practice location:
  • Phone: 213-284-3200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number35296
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: