Provider Demographics
NPI:1053925453
Name:HARRISY, BRIANA GENEVA I
Entity type:Individual
Prefix:
First Name:BRIANA
Middle Name:GENEVA
Last Name:HARRISY
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4641 FREEDOM CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-6715
Mailing Address - Country:US
Mailing Address - Phone:513-464-8234
Mailing Address - Fax:513-464-8234
Practice Address - Street 1:4641 FREEDOM CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-6715
Practice Address - Country:US
Practice Address - Phone:513-464-8234
Practice Address - Fax:513-464-8234
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSY252397374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide