Provider Demographics
NPI:1275298903
Name:MARTIN, BRYTTYA
Entity Type:Individual
Prefix:
First Name:BRYTTYA
Middle Name:
Last Name:MARTIN
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 1:2516 DAREL DR APT 103
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-5017
Mailing Address - Country:US
Mailing Address - Phone:202-489-1848
Mailing Address - Fax:
Practice Address - Street 1:1035 4TH ST NW APT 902
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3589
Practice Address - Country:US
Practice Address - Phone:301-213-7964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant