MEDICARE: BRIANA YANCY

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1467835835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA YANCY

Provider Business Mailing Address
First Line	:	2332 WILD FOREST CIR
Second Line	:
City	:	LEWISVILLE
State	:	TX
Zip	:	75056-5635
Country	:	US
Telephone Number	:	972-979-3730
Fax Number	:

Provider Business Practice Location Address
First Line	:	650 W MCKINLEY ST
Second Line	:	APT #3305C
City	:	BATON ROUGE
State	:	LA
Zip	:	70802-7744
Country	:	US
Telephone Number	:	972-979-3730
Fax Number	:

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

Provider Enumeration Date	:	07/02/2015
Last Update Date	:	07/02/2015

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Directions to “ BRIANA YANCY ” Practice Location

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