Provider Demographics
NPI:1902606981
Name:FERNANDES, BRIANA MARIE (NP)
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:MARIE
Last Name:FERNANDES
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 KIMBERLY LN N
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02921-2628
Mailing Address - Country:US
Mailing Address - Phone:401-651-5561
Mailing Address - Fax:
Practice Address - Street 1:2870 POST RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-3169
Practice Address - Country:US
Practice Address - Phone:401-352-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIAPRN04361363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily