Tiana Bravo
Registered Nurse in Bay Shore, NY. Individual provider (NPI-1).
NPI number1104797018
StatusActive
Last updated in NPPESSep 15, 2025
Details
- NPI
- 1104797018
- Entity type
- Individual (NPI-1)
- Name
- Tiana Bravo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 15, 2025
- Certification date
- Sep 15, 2025
- Last updated
- Sep 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 946194 | NY | Yes |
Practice location
95 Brentwood StBay Shore, NY 11706-2008
Phone 631-624-1313
Mailing address
95 Brentwood StBay Shore, NY 11706-2008
Phone 631-624-1313
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All 117 Registered Nurse providers in Bay Shore · All 2,254 providers in Bay Shore
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