Provider Demographics
NPI:1356616049
Name:VESPIE, BRITTNEY PAIGE (COTA)
Entity type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:PAIGE
Last Name:VESPIE
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:266 POLK ROAD 289
Mailing Address - Street 2:
Mailing Address - City:COVE
Mailing Address - State:AR
Mailing Address - Zip Code:71937-9686
Mailing Address - Country:US
Mailing Address - Phone:479-216-1035
Mailing Address - Fax:479-243-2456
Practice Address - Street 1:266 POLK ROAD 289
Practice Address - Street 2:
Practice Address - City:COVE
Practice Address - State:AR
Practice Address - Zip Code:71937-9686
Practice Address - Country:US
Practice Address - Phone:479-216-1035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROT-A653174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator