MEDICARE: BRITTANY PRUE

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1922964782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY PRUE

Provider Business Mailing Address
First Line	:	1911 SAVANNAH ST SE APT 204
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-7518
Country	:	US
Telephone Number	:	202-459-7816
Fax Number	:

Provider Business Practice Location Address
First Line	:	1911 SAVANNAH ST SE APT 204
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-7518
Country	:	US
Telephone Number	:	202-459-7816
Fax Number	:

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

Provider Enumeration Date	:	12/24/2025
Last Update Date	:	01/05/2026

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Directions to “ BRITTANY PRUE ” Practice Location

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