Healthcare Provider Details

I. General information

NPI: 1699670992
Provider Name (Legal Business Name): BRITTANY TROKE NTP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43225 PRINCE PINE CT
LEONARDTOWN MD
20650-4540
US

IV. Provider business mailing address

43225 PRINCE PINE CT
LEONARDTOWN MD
20650-4540
US

V. Phone/Fax

Practice location:
  • Phone: 404-345-8111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: