Provider Demographics
NPI:1043205818
Name:MILIONIS, BRYNA K (FNP-C)
Entity type:Individual
Prefix:
First Name:BRYNA
Middle Name:K
Last Name:MILIONIS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BRYNA
Other - Middle Name:K
Other - Last Name:GROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:802 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-1377
Mailing Address - Country:US
Mailing Address - Phone:302-778-8980
Mailing Address - Fax:302-778-8981
Practice Address - Street 1:802 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-1377
Practice Address - Country:US
Practice Address - Phone:302-778-8980
Practice Address - Fax:302-778-8981
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG0000300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE001140242Medicaid
DE00A470J40Medicare ID - Type UnspecifiedPROVIDER NUMBER
DE019593C67Medicare PIN
DEP33996Medicare UPIN