Provider Demographics
NPI:1558147025
Name:BRITTINGHAM, DAWN SHIRELLE
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:SHIRELLE
Last Name:BRITTINGHAM
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 1:157 STEVENS AVE
Mailing Address - Street 2:
Mailing Address - City:ATCO
Mailing Address - State:NJ
Mailing Address - Zip Code:08004-2345
Mailing Address - Country:US
Mailing Address - Phone:856-625-0840
Mailing Address - Fax:
Practice Address - Street 1:157 STEVENS AVE
Practice Address - Street 2:
Practice Address - City:ATCO
Practice Address - State:NJ
Practice Address - Zip Code:08004-2345
Practice Address - Country:US
Practice Address - Phone:856-625-0840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-31
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker