Provider Demographics
NPI:1558157743
Name:MOTLEY, BRIANNA (LPN)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:MOTLEY
Suffix:
Gender:
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4937 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-2013
Mailing Address - Country:US
Mailing Address - Phone:216-417-9030
Mailing Address - Fax:
Practice Address - Street 1:4937 E 88TH ST
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2013
Practice Address - Country:US
Practice Address - Phone:216-417-9030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH183985251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care