Healthcare Provider Details

I. General information

NPI: 1851172274
Provider Name (Legal Business Name): BRITTNAY NAIL ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2023
Last Update Date: 10/27/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 W CHAPMAN AVE
ORANGE CA
92868-1505
US

IV. Provider business mailing address

6542 BISHOP DR
HUNTINGTON BEACH CA
92647-4302
US

V. Phone/Fax

Practice location:
  • Phone: 714-748-6226
  • Fax:
Mailing address:
  • Phone: 951-233-8807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberASW107540
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: