Brianna Wing, NP, RN is a
Nurse Practitioner - Women's Health physician based in Grand Ronde, Oregon. Brianna Wing is licensed to practice in Oregon (license number 202112150NP-PP) and her current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 879-2002.
NPI number for Brianna Wing is 1578101762 and her current mailing address is 9605 Grand Ronde Rd, Grand Ronde, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578101762.
Physician's Profile
| Full Name | Brianna Wing |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Women's Health |
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| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578101762
- Provider Enumeration Date: 12/18/2019
- Last Update Date: 10/16/2024
Medical Identifiers
Medical identifiers for Brianna Wing such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578101762 | NPI | - | NPPES |
| 202112150NP-PP | Other | OR | OR STATE BOARD OF NURSING |
| 10171-33 | Other | WI | WISCONSIN BOARD OF NURSING |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 202112150NP-PP (Oregon) | Secondary |
| 163W00000X | Registered Nurse | RN2335343 (Massachusetts) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 10171-33 (Wisconsin) | Secondary |
| 363LW0102X | Nurse Practitioner - Women's Health | 202112150NP-PP (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna Wing is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brianna Wing, NP, RN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 | Brianna Wing, NP, RN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 |
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