Provider Demographics
NPI:1023808698
Name:DITULLIO, BRIANNA MARIE (DNP, APRN)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:MARIE
Last Name:DITULLIO
Suffix:
Gender:
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 N FRANCISCO AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-8490
Mailing Address - Country:US
Mailing Address - Phone:781-635-3973
Mailing Address - Fax:
Practice Address - Street 1:2618 N FRANCISCO AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-8490
Practice Address - Country:US
Practice Address - Phone:781-635-3973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILRN2303228163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine