Healthcare Provider Details

I. General information

NPI: 1902606981
Provider Name (Legal Business Name): BRIANA MARIE FERNANDES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2025
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2870 POST RD
WARWICK RI
02886-3169
US

IV. Provider business mailing address

86 KIMBERLY LN N
CRANSTON RI
02921-2628
US

V. Phone/Fax

Practice location:
  • Phone: 401-352-0007
  • Fax:
Mailing address:
  • Phone: 401-651-5561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN04361
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: