Basic Information
Provider Information
NPI: 1336155068
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BRIERLEY
FirstName: JANET
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2701 FRONTIER NE
Address2: MSC11 6120
City: ALBUQUERQUE
State: NM
PostalCode: 87106
CountryCode: US
TelephoneNumber: 5052722610
FaxNumber:  
Practice Location
Address1: SURGE BLDG. 1-WEST
Address2: 2701 FRONTIER NE
City: ALBUQUERQUE
State: NM
PostalCode: 87106
CountryCode: US
TelephoneNumber: 5052722610
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/01/2006
LastUpdateDate: 04/02/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X93-223NMY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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