Provider Demographics
NPI:1568112159
Name:DUKE, BRITTANY MICHELLE
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:MICHELLE
Last Name:DUKE
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 1:1318 HIGHWAY 171
Mailing Address - Street 2:
Mailing Address - City:STONEWALL
Mailing Address - State:LA
Mailing Address - Zip Code:71078-9403
Mailing Address - Country:US
Mailing Address - Phone:318-906-5057
Mailing Address - Fax:318-925-5057
Practice Address - Street 1:10325 HIGHWAY 168
Practice Address - Street 2:
Practice Address - City:RODESSA
Practice Address - State:LA
Practice Address - Zip Code:71069-9282
Practice Address - Country:US
Practice Address - Phone:430-999-2548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-25
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide