Provider Demographics
NPI:1558251561
Name:BLANKENSHIP, BRITTANY LEE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LEE
Last Name:BLANKENSHIP
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MOUNTIAN VIEW ACRES RD
Mailing Address - Street 2:
Mailing Address - City:GAP MILLS
Mailing Address - State:WV
Mailing Address - Zip Code:24941
Mailing Address - Country:US
Mailing Address - Phone:304-772-4937
Mailing Address - Fax:
Practice Address - Street 1:170 MOUNTIAN VIEW ACRES RD
Practice Address - Street 2:
Practice Address - City:GAP MILLS
Practice Address - State:WV
Practice Address - Zip Code:24941
Practice Address - Country:US
Practice Address - Phone:304-772-4937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant