Provider Demographics
NPI:1891583779
Name:BONER, BRIANA LEE
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:LEE
Last Name:BONER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 COUNTY ROAD 20
Mailing Address - Street 2:
Mailing Address - City:CERESCO
Mailing Address - State:NE
Mailing Address - Zip Code:68017-4054
Mailing Address - Country:US
Mailing Address - Phone:712-310-6136
Mailing Address - Fax:
Practice Address - Street 1:581 COUNTY ROAD 20
Practice Address - Street 2:
Practice Address - City:CERESCO
Practice Address - State:NE
Practice Address - Zip Code:68017-4054
Practice Address - Country:US
Practice Address - Phone:712-310-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No372500000XNursing Service Related ProvidersChore Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant