Healthcare Provider Details

I. General information

NPI: 1619464377
Provider Name (Legal Business Name): BRITTNEY UZOMAH LVN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2018
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date: 11/06/2025
Reactivation Date: 01/13/2026

III. Provider practice location address

3537 BARCLAY SQUARE
CLOVIS CA
93619
US

IV. Provider business mailing address

3133 N MILLBROOK AVE
FRESNO CA
93703-1425
US

V. Phone/Fax

Practice location:
  • Phone: 818-809-4004
  • Fax:
Mailing address:
  • Phone: 818-809-4004
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95034127
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number292691
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: