Provider Demographics
NPI:1578272654
Name:WARREN, BRITIANY (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRITIANY
Middle Name:
Last Name:WARREN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:BRITIANY
Other - Middle Name:
Other - Last Name:MCCLEMENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:605 ROSLINDALE CIR
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-9187
Mailing Address - Country:US
Mailing Address - Phone:803-840-8891
Mailing Address - Fax:
Practice Address - Street 1:4500 STUART ST RM 8-36
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29207-5700
Practice Address - Country:US
Practice Address - Phone:803-751-2505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-17
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC248404163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator