MR. BRYAN ELIOT MINOR (NPI# 1932596319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932596319 |
| Entity Type | Individual |
| Full Name | MR. BRYAN ELIOT MINOR |
| Credential | RN, BSN |
| Practice Address |
200 Butler Drive Providence RI 02906 |
| Mailing Address |
200 Butler Dr Providence RI 02906-4863 |
| Practice Telephone | 4014378448 |
| Mailing Telephone | 4014378448 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA0400X |
Registered Nurse Specialization: Addiction (Substance Use Disorder) |
RN169872 | AZ | Nursing Service Providers |
| Street Address |
200 BUTLER DRIVE |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235551565 | Patricia Diane Quimby | Registered Nurse | 200 Butler Drive, Providence, RI 02906-1590 | 2014-01-06 |
| 1568850022 | Ashley Moore | Counselor | 200 Butler Drive, Providence, RI 02906 | 2015-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245175 | Birdsong Traditional Medicine, LLC | Acupuncturist | 148 Waterman St. Ground Level, Providence, RI 02906 | 2020-08-13 |
| 1881218071 | Madison Pomerantz | Psychiatry & Neurology | 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 | 2020-06-03 |
| 1316453855 | Ellen Van Ingen Darling | Psychologist | 285 Governor St Ste 250, Providence, RI 02906 | 2017-12-20 |
| 1275063919 | Marissa Martz | Psychiatry & Neurology | 345 Blackstone Blvd., Providence, RI 02906 | 2017-06-15 |
| 1235663220 | Alena Haltzman | Counselor | 223 Summit Ave, Providence, RI 02906 | 2017-04-17 |
| 1669823399 | Kathryn Fleming-ives LLC | Psychiatry & Neurology | 355 Hope St Unit 1, Providence, RI 02906 | 2016-06-23 |
| 1134573389 | Sarah E. Kramer | Psychiatry & Neurology | Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 | 2016-04-13 |
| 1538534201 | Laura Anne Buss | Social Worker | 55 Hope St., Providence, RI 02906 | 2015-12-07 |
| 1700289360 | Tinatin Surguladze | Counselor | 205 Waterman St Suite 106, Providence, RI 02906 | 2014-09-26 |
| 1467851519 | Jamila Allouane | Social Worker | 120 Wayland Avenue Suite 2, Providence, RI 02906 | 2014-08-14 |
| Find all providers in zip 02906 | ||||
| Taxonomy Code | 163WA0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063037364 | Phoenix Health Professional Group, LLC | Registered Nurse | 99 Wayland Ave Ste 100, Providence, RI 02906-4314 | 2020-06-11 |
| 1336689637 | Robert Matuszek | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| 1518407816 | Melanie Nelson | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2017-03-06 |
| 1184179764 | Debra Figueira | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2016-08-24 |
| 1528443256 | Zoila Dasilva | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2015-07-23 |
| 1578982963 | Meghan Anne Wood | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2014-04-14 |
| 1568880912 | Kevin Sullivan | Registered Nurse | 66 Pavilion Ave, Providence, RI 02905-1522 | 2014-04-02 |
| 1851654164 | Timothy Allen Smith | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-06-21 |
| 1235458100 | Linda Ann Jackson | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2010-05-18 |
| 1861635955 | Anne E Avelar | Registered Nurse | 830 Chalkstone Ave, Providence, RI 02908-4799 | 2009-04-20 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02906 |
Please comment or provide details below to improve the information on MR. BRYAN ELIOT MINOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.