Provider Demographics
NPI:1720815798
Name:MCVEY, BRIANA BORDA (FNP)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:BORDA
Last Name:MCVEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:BRIANA
Other - Middle Name:
Other - Last Name:BORDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25100 VISTA MURRIETA APT 2218
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-2925
Mailing Address - Country:US
Mailing Address - Phone:510-579-2319
Mailing Address - Fax:
Practice Address - Street 1:25100 VISTA MURRIETA APT 2218
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-2925
Practice Address - Country:US
Practice Address - Phone:510-579-2319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95031505363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily