Provider Demographics
NPI:1548835085
Name:SENA, BRITTANY (HHP, FMP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:SENA
Suffix:
Gender:F
Credentials:HHP, FMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 DEMAVEND RD NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-5599
Mailing Address - Country:US
Mailing Address - Phone:505-920-4795
Mailing Address - Fax:
Practice Address - Street 1:3110 DEMAVEND RD NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-5599
Practice Address - Country:US
Practice Address - Phone:505-920-4795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-26
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty