Provider Demographics
NPI:1073879086
Name:INTRES, BRITTANY LEIGH ANN
Entity Type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:LEIGH ANN
Last Name:INTRES
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 1:908 S MONROE ST
Mailing Address - Street 2:
Mailing Address - City:HUGOTON
Mailing Address - State:KS
Mailing Address - Zip Code:67951-2830
Mailing Address - Country:US
Mailing Address - Phone:620-453-0394
Mailing Address - Fax:
Practice Address - Street 1:908 S MONROE ST
Practice Address - Street 2:
Practice Address - City:HUGOTON
Practice Address - State:KS
Practice Address - Zip Code:67951-2830
Practice Address - Country:US
Practice Address - Phone:620-453-0394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator