Provider Demographics
NPI:1336703693
Name:RODIO, BRITTNI DAWN
Entity Type:Individual
Prefix:
First Name:BRITTNI
Middle Name:DAWN
Last Name:RODIO
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 1:3251 S UNIVERSITY DR APT D
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-2242
Mailing Address - Country:US
Mailing Address - Phone:469-651-2771
Mailing Address - Fax:
Practice Address - Street 1:3251 S UNIVERSITY DR APT D
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-2242
Practice Address - Country:US
Practice Address - Phone:469-651-2771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX960293163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse