1629657275 NPI number — BRIEANNA NATION-HOWARD, D.O. PALLIATIVE CARE, P.C.

Table of content: (NPI 1629657275)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629657275 NPI number — BRIEANNA NATION-HOWARD, D.O. PALLIATIVE CARE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BRIEANNA NATION-HOWARD, D.O. PALLIATIVE CARE, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THREE OAKS PALLIATIVE CARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629657275
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
717 N HARWOOD ST STE 550
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75201-6540
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-628-9951
Provider Business Mailing Address Fax Number:
214-389-0976

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1717 N NAPER BLVD STE 301
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NAPERVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60563-8839
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
877-585-7400
Provider Business Practice Location Address Fax Number:
877-585-7401
Provider Enumeration Date:
04/02/2021

Additional Information

Authorized Official

Authorized Official Last Name:
NATION-HOWARD
Authorized Official First Name:
BRIEANNA
Authorized Official Middle Name:
Authorized Official Title or Position:
SOLE OWNER
Authorized Official Telephone Number:
904-608-1115

Provider Taxonomy Codes

  • Taxonomy code: 207QH0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com