Provider Demographics
NPI:1043010333
Name:MCCARTHUR, BRIANNA LATRICE (CNA)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:LATRICE
Last Name:MCCARTHUR
Suffix:
Gender:
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 MARY PLZ APT 4105
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68152-2476
Mailing Address - Country:US
Mailing Address - Phone:531-710-6243
Mailing Address - Fax:
Practice Address - Street 1:5825 MARY PLZ APT 4105
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68152-2476
Practice Address - Country:US
Practice Address - Phone:531-710-6243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide