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NPI Code Detail

MEDICARE: MS. BRITTANY UPDIKE RN

MEDICARE: MS. BRITTANY UPDIKE RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse775140NY

General Provider Information

NPI Number : 1902527955
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRITTANY UPDIKE RN
Provider Business Mailing Address
First Line : 5297 CURRY RD APT 1
Second Line :
City : TRUMANSBURG
State : NY
Zip : 14886-9552
Country : US
Telephone Number : 607-280-3628
Fax Number :
Provider Business Practice Location Address
First Line : 7263 MAIN ST
Second Line :
City : OVID
State : NY
Zip : 14521-9586
Country : US
Telephone Number : 607-869-9636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2022
Last Update Date : 09/08/2022

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