Healthcare Provider Details

I. General information

NPI: 1750277547
Provider Name (Legal Business Name): BRITNEY MARIE BARRETTE CHW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56720 CALUMET AVE
CALUMET MI
49913-1904
US

IV. Provider business mailing address

56720 CALUMET AVE
CALUMET MI
49913-1904
US

V. Phone/Fax

Practice location:
  • Phone: 906-483-1177
  • Fax: 906-481-3094
Mailing address:
  • Phone: 906-483-1177
  • Fax: 906-481-3094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: