Doctor Name: | MRS. BRIANNA VERHEYEN |
NPI Number: | 1245519065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P/MHNP |
License Number: | 2011026917 |
Business Practice Address: | 500 W Main St Ste 400a Branson, MO - 656162745 |
Business Phone Number: | 4172437777 |
Business Fax Number: | |
Mailing Address: | 8331 W Farm Road 148, SPRINGFIELD |
State: | MO |
Postal Code: | 658027714 |
Phone Number: | 4176892351 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2011 |
NPI Last Update Date: | 08/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 2011026917 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |