Healthcare Provider Details

I. General information

NPI: 1093409294
Provider Name (Legal Business Name): BRITNEY DURRETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023
Certification Date: 03/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1269 SILVER LN
MC KEES ROCKS PA
15136-1063
US

IV. Provider business mailing address

1269 SILVER LN
MC KEES ROCKS PA
15136-1063
US

V. Phone/Fax

Practice location:
  • Phone: 412-789-5107
  • Fax:
Mailing address:
  • Phone: 412-789-5107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: