Healthcare Provider Details

I. General information

NPI: 1659088144
Provider Name (Legal Business Name): BRITNEY JAN O'CONNELL NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 11/03/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N GREEN VALLEY PKWY STE 235
HENDERSON NV
89074-7704
US

IV. Provider business mailing address

1201 2ND AVE STE 1400
SEATTLE WA
98101-3039
US

V. Phone/Fax

Practice location:
  • Phone: 725-218-1743
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: