Healthcare Provider Details

I. General information

NPI: 1265372072
Provider Name (Legal Business Name): BRITTANY ROWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

421 5TH AVE
BROOKLYN NY
11215-3315
US

IV. Provider business mailing address

780 PROSPECT PL APT 3R
BROOKLYN NY
11216-3676
US

V. Phone/Fax

Practice location:
  • Phone: 980-228-8044
  • Fax:
Mailing address:
  • Phone: 980-228-8044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number68900587
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: