Healthcare Provider Details

I. General information

NPI: 1245585264
Provider Name (Legal Business Name): BRITTANY MILLIGAN PRATER AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 03/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 PRYTANIA ST SUITE 606
NEW ORLEANS LA
70115-3500
US

IV. Provider business mailing address

3525 PRYTANIA ST SUITE 606
NEW ORLEANS LA
70115-3500
US

V. Phone/Fax

Practice location:
  • Phone: 504-899-1513
  • Fax:
Mailing address:
  • Phone: 504-899-1513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number7031
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: