Provider Demographics
NPI:1508647785
Name:MINOR, BRITNI N
Entity Type:Individual
Prefix:
First Name:BRITNI
Middle Name:N
Last Name:MINOR
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 1:165 MOUNT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-1219
Mailing Address - Country:US
Mailing Address - Phone:304-650-7041
Mailing Address - Fax:
Practice Address - Street 1:165 MOUNT VIEW DR
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-1219
Practice Address - Country:US
Practice Address - Phone:304-650-7041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker