Provider Demographics
NPI:1871071290
Name:OPPICI, BRIANNA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:MARIE
Last Name:OPPICI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 654
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10988-0654
Mailing Address - Country:US
Mailing Address - Phone:631-559-9378
Mailing Address - Fax:
Practice Address - Street 1:106 ROUTE 284
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:NY
Practice Address - Zip Code:10988-2018
Practice Address - Country:US
Practice Address - Phone:631-559-9378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-30
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332597164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse