Provider Demographics
NPI:1518545821
Name:WALUGEMBE, BRITTANY MONIQUE
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MONIQUE
Last Name:WALUGEMBE
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 1:5393 FULLERTON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-6222
Mailing Address - Country:US
Mailing Address - Phone:567-377-1243
Mailing Address - Fax:
Practice Address - Street 1:1855 E DUBLIN GRANVILLE RD STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-3516
Practice Address - Country:US
Practice Address - Phone:614-267-7003
Practice Address - Fax:614-267-7013
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management