Individual
BRIANNE P LIENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP-BC, PMHNP-BC
Contact information
Practice address
156 FRONT ST UNIT 2, MARION, MA 02738-1501
(404) 798-0670
Mailing address
156 FRONT ST UNIT 2, MARION, MA 02738-1501
(508) 748-3736
(508) 748-3767
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN276384
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN276384
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110076590A
—
MA
05
—
110107382A
—
MA
Enumeration date
10/18/2012
Last updated
05/04/2026
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