Provider Demographics
NPI:1427335835
Name:BREEDING, BRIEANNA R (APN)
Entity type:Individual
Prefix:MRS
First Name:BRIEANNA
Middle Name:R
Last Name:BREEDING
Suffix:
Gender:F
Credentials:APN
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Mailing Address - Street 1:9500 KANIS RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6324
Mailing Address - Country:US
Mailing Address - Phone:501-202-1902
Mailing Address - Fax:501-202-1512
Practice Address - Street 1:2100 MEADOWLAKE RD STE 10
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:AR
Practice Address - Zip Code:72032-2569
Practice Address - Country:US
Practice Address - Phone:015-133-3225
Practice Address - Fax:501-513-3065
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2020-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AR1427335835207Q00000X
ARA03620363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine