Provider Demographics
NPI:1942904131
Name:RIVERS, BRIONNA NICOLE
Entity type:Individual
Prefix:
First Name:BRIONNA
Middle Name:NICOLE
Last Name:RIVERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5459 COMSTOCK RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44146-1605
Mailing Address - Country:US
Mailing Address - Phone:216-233-9833
Mailing Address - Fax:
Practice Address - Street 1:5459 COMSTOCK RD
Practice Address - Street 2:
Practice Address - City:BEDFORD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44146-1605
Practice Address - Country:US
Practice Address - Phone:216-233-9833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-30
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health