MEDICARE: BRIANA MCCAFFREY

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	163W00000X	Registered Nurse	RN.416233	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0028919	OH

General Provider Information

NPI Number	:	1548839921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANA MCCAFFREY

Provider Business Mailing Address
First Line	:	4896 ORLAND RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-1245
Country	:	US
Telephone Number	:	513-253-7998
Fax Number	:

Provider Business Practice Location Address
First Line	:	1041 DELTA AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45208-3157
Country	:	US
Telephone Number	:	513-253-7998
Fax Number	:

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

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	06/21/2021

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Directions to “ BRIANA MCCAFFREY ” Practice Location

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