Individual
BRIANNA HEFFERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
40 GRENADIER LN, EAST ISLIP, NY 11730-3717
(631) 383-2909
Mailing address
40 GRENADIER LN, EAST ISLIP, NY 11730-3717
(631) 383-2909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
775583
NY
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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