MEDICARE: MS. BRITTANY EVANS

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	:	1932893898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRITTANY EVANS

Provider Business Mailing Address
First Line	:	PO BOX 743
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-0743
Country	:	US
Telephone Number	:	334-546-4608
Fax Number	:

Provider Business Practice Location Address
First Line	:	68 BROWNWOOD AVE
Second Line	:
City	:	BAY MINETTE
State	:	AL
Zip	:	36507-3009
Country	:	US
Telephone Number	:	334-546-4608
Fax Number	:

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

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

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Directions to “ MS. BRITTANY EVANS ” Practice Location

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