Provider Demographics
NPI:1730884644
Name:PLANK, BRIANNA (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:PLANK
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 ESPLANADE DR
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-4165
Mailing Address - Country:US
Mailing Address - Phone:361-991-8000
Mailing Address - Fax:877-494-7986
Practice Address - Street 1:5710 ESPLANADE DR
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78414-4165
Practice Address - Country:US
Practice Address - Phone:361-991-8000
Practice Address - Fax:877-494-7986
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1114284363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily