Provider Demographics
NPI:1013896018
Name:DRUMGOOLE, BREANNA LATASHA (RN)
Entity type:Individual
Prefix:
First Name:BREANNA
Middle Name:LATASHA
Last Name:DRUMGOOLE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14842 ASHLIGHT DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7432
Mailing Address - Country:US
Mailing Address - Phone:706-306-6566
Mailing Address - Fax:
Practice Address - Street 1:14842 ASHLIGHT DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7432
Practice Address - Country:US
Practice Address - Phone:706-306-6566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program