Provider Demographics
NPI:1346786001
Name:HALL, BRITTANY DESHAY (CNA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DESHAY
Last Name:HALL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 GEORGE ST
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:IL
Mailing Address - Zip Code:62906-1027
Mailing Address - Country:US
Mailing Address - Phone:618-614-8363
Mailing Address - Fax:
Practice Address - Street 1:225 GEORGE ST
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:IL
Practice Address - Zip Code:62906-1027
Practice Address - Country:US
Practice Address - Phone:618-614-8363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide