Provider Demographics
NPI:1871101659
Name:AZADI, BRIEGE MARIE (MSN, APRN, FNP)
Entity type:Individual
Prefix:
First Name:BRIEGE
Middle Name:MARIE
Last Name:AZADI
Suffix:
Gender:F
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 BRICKELL BAY DR APT 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3610
Mailing Address - Country:US
Mailing Address - Phone:786-340-0699
Mailing Address - Fax:
Practice Address - Street 1:1331 BRICKELL BAY DR APT 301
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3610
Practice Address - Country:US
Practice Address - Phone:786-340-0699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-17
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9462385163W00000X
FL11008878363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse