Provider Demographics
NPI:1619429222
Name:BURR, BRITT (RDT)
Entity Type:Individual
Prefix:PROF
First Name:BRITT
Middle Name:
Last Name:BURR
Suffix:
Gender:F
Credentials:RDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 POOLE RD
Mailing Address - Street 2:APT. C1
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6065
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:414 POOLE RD
Practice Address - Street 2:APT. C1
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-6065
Practice Address - Country:US
Practice Address - Phone:410-596-0857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-30
Last Update Date:2016-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD607174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist