Healthcare Provider Details

I. General information

NPI: 1720904998
Provider Name (Legal Business Name): BRITTANY NICHOLE ROTHROCK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 VANDERBILT PARK DR
ASHEVILLE NC
28803-1700
US

IV. Provider business mailing address

7 VANDERBILT PARK DR # 100A
ASHEVILLE NC
28803-1700
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-0969
  • Fax:
Mailing address:
  • Phone: 828-258-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number316483
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: