Provider Demographics
NPI:1114292885
Name:CAWTHRON, BRITINEY ANN
Entity Type:Individual
Prefix:MISS
First Name:BRITINEY
Middle Name:ANN
Last Name:CAWTHRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITINEY
Other - Middle Name:CAWTHRON
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 ANDREWS AVE
Mailing Address - Street 2:
Mailing Address - City:FORT RUCKER
Mailing Address - State:AL
Mailing Address - Zip Code:36362-0000
Mailing Address - Country:US
Mailing Address - Phone:334-379-3159
Mailing Address - Fax:
Practice Address - Street 1:301 ANDREWS AVE
Practice Address - Street 2:
Practice Address - City:FORT RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362-0000
Practice Address - Country:US
Practice Address - Phone:334-379-3159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHB1951717171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider