MEDICARE: BRITTANY TOUCHET CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	NA4368	CA
2	367500000X	Certified Registered Nurse Anesthetist	0024171068	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124369939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY TOUCHET CRNA

Provider Business Mailing Address
First Line	:	PO BOX 37090
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3090
Country	:	US
Telephone Number	:	703-295-9360
Fax Number	:	703-295-9369

Provider Business Practice Location Address
First Line	:	11781 LEE JACKSON MEMORIAL HWY
Second Line	:	SUITE 350
City	:	FAIRFAX
State	:	VA
Zip	:	22033-3309
Country	:	US
Telephone Number	:	703-295-9360
Fax Number	:	703-295-9369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2013
Last Update Date	:	03/18/2016

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