Provider Demographics
NPI:1447546387
Name:ALFORD, BRIE ELIZABETH (MNSC, BSN, RN)
Entity type:Individual
Prefix:
First Name:BRIE
Middle Name:ELIZABETH
Last Name:ALFORD
Suffix:
Gender:F
Credentials:MNSC, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 PIERCE ST STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8749
Mailing Address - Country:US
Mailing Address - Phone:888-792-7122
Mailing Address - Fax:866-283-3450
Practice Address - Street 1:1600 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5622
Practice Address - Country:US
Practice Address - Phone:915-887-3410
Practice Address - Fax:915-351-4708
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR81444163W00000X
NC255170363LP0808X
TXAP131713363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ43674AMedicare PIN