Healthcare Provider Details

I. General information

NPI: 1023348802
Provider Name (Legal Business Name): BRITTANEY ELLIOTT SWIFT WHCNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2009
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E LEIGH ST FL 10
RICHMOND VA
23298-5004
US

IV. Provider business mailing address

1001 E LEIGH ST FL 10
RICHMOND VA
23298-5004
US

V. Phone/Fax

Practice location:
  • Phone: 48-628-7429
  • Fax: 804-806-7588
Mailing address:
  • Phone: 804-828-4409
  • Fax: 804-806-7588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP113993
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: