| Doctor Name: | BRIANNA ROSE EBLE |
| NPI Number: | 1194122465 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN2261806 |
| Business Practice Address: | 505 Nashua Rd Suite 1 Dracut, MA - 018261955 |
| Business Phone Number: | 9789579650 |
| Business Fax Number: | |
| Mailing Address: | 505 Nashua Rd, Suite 1 DRACUT |
| State: | MA |
| Postal Code: | 018261955 |
| Phone Number: | 9789579650 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2014 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | RN2261806 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |