Provider Demographics
NPI:1467885020
Name:BRITTINGHAM, MCRAE ROGERS (CPD)
Entity Type:Individual
Prefix:
First Name:MCRAE
Middle Name:ROGERS
Last Name:BRITTINGHAM
Suffix:
Gender:F
Credentials:CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 COLTON CREEK RD
Mailing Address - Street 2:#103
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-3432
Mailing Address - Country:US
Mailing Address - Phone:804-464-8223
Mailing Address - Fax:
Practice Address - Street 1:501 COLTON CREEK RD
Practice Address - Street 2:#103
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-3432
Practice Address - Country:US
Practice Address - Phone:804-464-8223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-17
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula