National Provider Identifier
Breanna Blue
Breanna Blue is listed in the NPPES registry with a primary specialty of In Home Supportive Care Agency in Rochester, NY and a listed phone number of (585) 397-2675.
Profile Overview
- NPI
- 1144776782
- Provider Type
- Individual
- Primary Specialty
- In Home Supportive Care Agency
- Enumeration Date
- September 01, 2016
- Last Updated
- September 01, 2016
Practice Location
- 90 Kron St
- Rochester, NY 14619-2036
Phone: (585) 397-2675
Specialties
- In Home Supportive Care Agency (253Z00000X)
Full Record
- NPI
- 1144776782
- Entity Type
- Individual
- Last Name
- Blue
- First Name
- Breanna
- Provider Other Last Name
- Mathis
- Provider Other First Name
- Breanna
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 90 Kron St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-2036
- Mailing Country
- US
- Practice Street Address
- 90 Kron St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-2036
- Practice Country
- US
- Practice Phone
- (585) 397-2675
- Enumeration Date
- September 01, 2016
- Last Updated
- September 01, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- In Home Supportive Care Agency (253Z00000X)