Healthcare Provider Details

I. General information

NPI: 1124951710
Provider Name (Legal Business Name): BRIO ESTHETICS AND WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4912 US HWY 421 S
BOONE NC
28607-7314
US

IV. Provider business mailing address

4912 US HWY 421 S
BOONE NC
28607-7314
US

V. Phone/Fax

Practice location:
  • Phone: 828-386-6797
  • Fax:
Mailing address:
  • Phone: 828-386-6797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: EMILY GILLIAM
Title or Position: OFFICE MANAGER
Credential:
Phone: 828-386-6797