Individual
BRIANA MARIE DESMET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12040 NE 128TH ST # MS 33, KIRKLAND, WA 98034-3013
(425) 899-3224
Mailing address
PO BOX 589, FORT DEFIANCE, AZ 86504-0589
(928) 729-8600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1146653
NCCPA LICENSE
—
01
—
60924691
STATE OF WASHINGTON PA LICENSE
WA
01
—
6924
STATE OF ARIZONA PA LICENSE
AZ
Enumeration date
10/13/2017
Last updated
09/03/2019
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