Healthcare Provider Details

I. General information

NPI: 1952219032
Provider Name (Legal Business Name): BRIANA COLLEEN LEON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 NOBLE AVE STE 101
MILFORD CT
06460-4738
US

IV. Provider business mailing address

12 CENTER ST
STAMFORD CT
06906-1751
US

V. Phone/Fax

Practice location:
  • Phone: 203-874-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number12.018209
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: