Provider Demographics
NPI:1326698689
Name:SEWELL, BRITTANY
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:SEWELL
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 1:10 ST PATRICKS DRIVE
Mailing Address - Street 2:ADVANCED ACCESS
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-5250
Mailing Address - Country:US
Mailing Address - Phone:402-448-2929
Mailing Address - Fax:240-448-2930
Practice Address - Street 1:10 ST PATRICKS DRIVE
Practice Address - Street 2:ADVANCED ACCESS
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603
Practice Address - Country:US
Practice Address - Phone:240-448-2929
Practice Address - Fax:240-448-2930
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR229897163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse