Healthcare Provider Details

I. General information

NPI: 1821349614
Provider Name (Legal Business Name): MRS. BRITTANY GAYLE PICKARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2012
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 32ND AVE S
FARGO ND
58103-6132
US

IV. Provider business mailing address

922 RENSVOLD BLVD
MOORHEAD MN
56560-3251
US

V. Phone/Fax

Practice location:
  • Phone: 701-364-8000
  • Fax:
Mailing address:
  • Phone: 706-455-2753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number335002912
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: