Healthcare Provider Details

I. General information

NPI: 1982276630
Provider Name (Legal Business Name): BRITTNI MARIE BROWN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2021
Last Update Date: 07/13/2021
Certification Date: 06/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 W SCHROCK RD
WESTERVILLE OH
43081-2890
US

IV. Provider business mailing address

195 W SCHROCK RD
WESTERVILLE OH
43081-2890
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: