Provider Demographics
NPI:1003516691
Name:BEABOUT, BRITTANY CHRISTIANA
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHRISTIANA
Last Name:BEABOUT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 NATURES RIDGE CIR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-3843
Mailing Address - Country:US
Mailing Address - Phone:256-679-5407
Mailing Address - Fax:
Practice Address - Street 1:5 NATURES RIDGE CIR SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35803-3843
Practice Address - Country:US
Practice Address - Phone:256-679-5407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-03
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program