Provider Demographics
NPI:1588188486
Name:EISON, BRITTANY (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:EISON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:THOMAS-HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:W139N6136 WEYERHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-5108
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:W139N6136 WEYERHAVEN DR
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-5108
Practice Address - Country:US
Practice Address - Phone:414-467-2748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI194774163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse