Healthcare Provider Details

I. General information

NPI: 1407904048
Provider Name (Legal Business Name): EILEEN BRITTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1436 HIGHLAND DR
WASHINGTON NC
27889-3222
US

IV. Provider business mailing address

1436 HIGHLAND DR
WASHINGTON NC
27889-3222
US

V. Phone/Fax

Practice location:
  • Phone: 252-946-1902
  • Fax:
Mailing address:
  • Phone: 252-946-1902
  • Fax: 252-946-8430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number0800054
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: