Provider Demographics
NPI:1023623808
Name:BARJUCA, BRIA DESHEA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:BRIA
Middle Name:DESHEA
Last Name:BARJUCA
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 SYCAMORE ST UNIT 711
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-2197
Mailing Address - Country:US
Mailing Address - Phone:859-707-0335
Mailing Address - Fax:
Practice Address - Street 1:4450 EASTGATE BLVD STE 232
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-1788
Practice Address - Country:US
Practice Address - Phone:513-770-4212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-09
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0027517207N00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty