Healthcare Provider Details

I. General information

NPI: 1184404204
Provider Name (Legal Business Name): BRIANNA LA PLANT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 KIRBY RD
SARATOGA SPRINGS NY
12866-9262
US

IV. Provider business mailing address

57 KIRBY RD
SARATOGA SPRINGS NY
12866-9262
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-4277
  • Fax:
Mailing address:
  • Phone: 518-587-4277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number790750
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: