Healthcare Provider Details

I. General information

NPI: 1760367064
Provider Name (Legal Business Name): PAMELA BRITLAND RN, IBCLC
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BOWMAN DR
VOORHEES NJ
08043-9612
US

IV. Provider business mailing address

3 GRAYSON CT
MARLTON NJ
08053-1923
US

V. Phone/Fax

Practice location:
  • Phone: 609-915-5658
  • Fax:
Mailing address:
  • Phone: 609-915-5658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number26NR06376900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: