Provider Demographics
NPI:1962718106
Name:HUISMAN, BRIANA KAYE
Entity type:Individual
Prefix:MRS
First Name:BRIANA
Middle Name:KAYE
Last Name:HUISMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13214 E MALLON CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-1015
Mailing Address - Country:US
Mailing Address - Phone:509-703-3644
Mailing Address - Fax:
Practice Address - Street 1:13214 E MALLON CT
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1015
Practice Address - Country:US
Practice Address - Phone:509-850-0527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-25
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW60898346176B00000X
IDMID-83176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife