Provider Demographics
NPI:1528654373
Name:BRITTON, BRIDGETT N
Entity type:Individual
Prefix:
First Name:BRIDGETT
Middle Name:N
Last Name:BRITTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2112 ELM ST
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-2510
Mailing Address - Country:US
Mailing Address - Phone:614-981-6748
Mailing Address - Fax:
Practice Address - Street 1:2112 ELM ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-2510
Practice Address - Country:US
Practice Address - Phone:614-981-6748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide