Provider Demographics
NPI:1003565573
Name:COLQUITT, BRITTANY DENISE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DENISE
Last Name:COLQUITT
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 1:806 FILSON CT
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-9340
Mailing Address - Country:US
Mailing Address - Phone:757-324-6142
Mailing Address - Fax:
Practice Address - Street 1:806 FILSON CT
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-9340
Practice Address - Country:US
Practice Address - Phone:757-324-6142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company