NPI 1063255099
Brianna Nicole Licari
Practice location
- Address
- 13620 Reese Blvd E STE 100, Huntersville, NC 28078-6418
- Phone
- (704) 801-7330
- Mailing address
- 251 Admiral Cochrane Dr APT 2033, Annapolis, MD 21401-7591
Registered specialties
Nurse Practitioner
Primary
Registry record
- NPI
- 1063255099
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Jun 2024
- Record last updated
- 6 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.