BRIANNA WING NP RN NPI 1578101762

NPI Information

NPI: 1578101762
Provider Name: BRIANNA WING, NP, RN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
9605 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347
Phone: (503) 879-2002
Get Directions

Brianna Wing, NP, RN is a women's health nurse practitioner in Grand Ronde, OR. Brianna Wing, NP, RN NPI is 1578101762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9605 GRAND RONDE RD
GRAND RONDE, OR
ZIP 97347-712
Phone: (503) 879-2002

The NPI 1578101762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/18/2019 and was last updated on 1/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN2335343	MASSACHUSETTS	No
2	207Q00000X	Family Medicine		202112150NP-PP	OREGON	No
3	363LW0102X	Nurse Practitioner	Women's Health	10171-33	WISCONSIN	No
4	363LW0102X	Nurse Practitioner	Women's Health	202112150NP-PP	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	10171-33	OTHER	WISCONSIN	WISCONSIN BOARD OF NURSING
2	202112150NP-PP	OTHER	OREGON	OR STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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