Healthcare Provider Details

I. General information

NPI: 1548839921
Provider Name (Legal Business Name): BRIANA MCCAFFREY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 DELTA AVE
CINCINNATI OH
45208-3157
US

IV. Provider business mailing address

4896 ORLAND RD
CINCINNATI OH
45244-1245
US

V. Phone/Fax

Practice location:
  • Phone: 513-253-7998
  • Fax:
Mailing address:
  • Phone: 513-253-7998
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0028919
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.416233
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: