Provider Demographics
NPI:1225754880
Name:BROWN, BRITTNY (PHELCOTOMIST)
Entity Type:Individual
Prefix:
First Name:BRITTNY
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:PHELCOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:PORT ST JOE
Mailing Address - State:FL
Mailing Address - Zip Code:32456-5450
Mailing Address - Country:US
Mailing Address - Phone:206-637-1552
Mailing Address - Fax:
Practice Address - Street 1:275 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:PORT ST JOE
Practice Address - State:FL
Practice Address - Zip Code:32456-5450
Practice Address - Country:US
Practice Address - Phone:206-637-1552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 247200000X, 3747A0650X, 374U00000X, 246RP1900X
WA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No174H00000XOther Service ProvidersHealth Educator
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No374U00000XNursing Service Related ProvidersHome Health Aide