Healthcare Provider Details

I. General information

NPI: 1194682005
Provider Name (Legal Business Name): BRIELLE QUARLES CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 149TH ST STE 5A
BRONX NY
10451-5504
US

IV. Provider business mailing address

36 STEVENS ST
NEW HAVEN CT
06519-1002
US

V. Phone/Fax

Practice location:
  • Phone: 718-579-5371
  • Fax:
Mailing address:
  • Phone: 703-434-1788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number421912
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number002424
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: