MEDICARE: BRIANNA MESSINGER LVN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164X00000X	Licensed Vocational Nurse	308881	TX

General Provider Information

NPI Number	:	1134692114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA MESSINGER LVN

Provider Business Mailing Address
First Line	:	1127 CHAUCER LN
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-2847
Country	:	US
Telephone Number	:	910-987-6910
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 CHAUCER LN
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-2847
Country	:	US
Telephone Number	:	910-987-6910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2019
Last Update Date	:	01/02/2019

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