Provider Demographics
NPI:1871310367
Name:ALBENY, BRIANNA EUNITRA
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:EUNITRA
Last Name:ALBENY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11213 MOUNT OVERLOOK AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-2533
Mailing Address - Country:US
Mailing Address - Phone:440-207-0606
Mailing Address - Fax:
Practice Address - Street 1:11213 MOUNT OVERLOOK AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-2533
Practice Address - Country:US
Practice Address - Phone:440-207-0606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH601405780720376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide