Individual
MRS. BRIANNE MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1505 WILSON TER STE 250, GLENDALE, CA 91206-4075
(818) 246-7115
(877) 366-1148
Mailing address
20 VISTA REAL DR, ROLLING HILLS ESTATES, ROLLING HILLS ESTATES, CA 90274-4227
(310) 539-2280
(310) 539-1188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
760321
CA
363LF0000X
Family Nurse Practitioner
Primary
95004897
CA
Other
Enumeration date
08/30/2016
Last updated
09/17/2021
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