Provider Demographics
NPI:1649947821
Name:BRITTON, SHAREANNA (LPN)
Entity type:Individual
Prefix:
First Name:SHAREANNA
Middle Name:
Last Name:BRITTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 OAKFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-6152
Mailing Address - Country:US
Mailing Address - Phone:470-637-6227
Mailing Address - Fax:
Practice Address - Street 1:55 OAKFIELD WAY
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30134-6152
Practice Address - Country:US
Practice Address - Phone:470-637-6227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNL108911164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse