Healthcare Provider Details

I. General information

NPI: 1346911468
Provider Name (Legal Business Name): BRIANNA N DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRIANNA N KOZAR

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 12/28/2022
Certification Date: 12/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PENFIELD AVE
AKRON OH
44310-2912
US

IV. Provider business mailing address

10 PENFIELD AVE
AKRON OH
44310-2912
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-6110
  • Fax:
Mailing address:
  • Phone: 330-762-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number257495
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2208632
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: