MEDICARE: BRITTANY MARIE COLEMAN

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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1508688433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY MARIE COLEMAN

Provider Business Mailing Address
First Line	:	5605 ROLLINS LN
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-5550
Country	:	US
Telephone Number	:	240-758-7276
Fax Number	:

Provider Business Practice Location Address
First Line	:	1125 SPRING RD NW APT 323
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20010-1995
Country	:	US
Telephone Number	:	240-758-7276
Fax Number	:

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

Provider Enumeration Date	:	10/30/2024
Last Update Date	:	10/30/2024

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