Healthcare Provider Details

I. General information

NPI: 1831830116
Provider Name (Legal Business Name): BRITTANI MADDEN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: BRITTANI FARQUHARSON

II. Dates (important events)

Enumeration Date: 04/02/2022
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 MARSHALL WAY
PLACERVILLE CA
95667-6533
US

IV. Provider business mailing address

1100 MARSHALL WAY
PLACERVILLE CA
95667-6533
US

V. Phone/Fax

Practice location:
  • Phone: 530-626-2678
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: