Healthcare Provider Details

I. General information

NPI: 1932058302
Provider Name (Legal Business Name): BRITTNY TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34445 KING STREET ROW
LEWES DE
19958-4787
US

IV. Provider business mailing address

34445 KING STREET ROW
LEWES DE
19958-4787
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-2833
  • Fax:
Mailing address:
  • Phone: 302-645-2833
  • Fax: 844-640-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberC5-0012372
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: