Healthcare Provider Details

I. General information

NPI: 1720878358
Provider Name (Legal Business Name): BRITTNEY MASON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 TREBOY AVE
RICHMOND VA
23226-1149
US

IV. Provider business mailing address

9108 WELHAVEN DR
NORTH CHESTERFIELD VA
23236-4711
US

V. Phone/Fax

Practice location:
  • Phone: 804-370-6796
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-315518
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: