Provider Demographics
NPI:1194401919
Name:WARE, BRIA ALEXIS
Entity type:Individual
Prefix:
First Name:BRIA
Middle Name:ALEXIS
Last Name:WARE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 31ST ST APT 302
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3231
Mailing Address - Country:US
Mailing Address - Phone:341-766-2384
Mailing Address - Fax:
Practice Address - Street 1:528 31ST ST APT 302
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3231
Practice Address - Country:US
Practice Address - Phone:341-766-2384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator