Provider Demographics
NPI:1962217547
Name:NEAL, BRIANNA (NP)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:NEAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10200 GILES ST APT 1084
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89183-4012
Mailing Address - Country:US
Mailing Address - Phone:951-250-3806
Mailing Address - Fax:
Practice Address - Street 1:10200 GILES ST APT 1084
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89183-4012
Practice Address - Country:US
Practice Address - Phone:951-250-3806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV880679363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily