Provider Demographics
NPI:1326871260
Name:BAPTISTA, BRIANNA (APRN, AGNP-C)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:BAPTISTA
Suffix:
Gender:F
Credentials:APRN, AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 WETHERBEE AVE
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-2013
Mailing Address - Country:US
Mailing Address - Phone:857-472-8457
Mailing Address - Fax:
Practice Address - Street 1:15 WETHERBEE AVE
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-2013
Practice Address - Country:US
Practice Address - Phone:857-472-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2330948363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology