Provider Demographics
NPI:1689418170
Name:CAO, BRIANNA ELLEN (DNP)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:ELLEN
Last Name:CAO
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:BRIANNA
Other - Middle Name:ELLEN
Other - Last Name:HUIZAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:12126 NE 191ST ST APT 212
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4686 POINTES DR STE 219
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-6038
Practice Address - Country:US
Practice Address - Phone:425-405-8089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-20
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAINPROGRESS363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner