Provider Demographics
NPI:1629634605
Name:DARDEN, BRITTANY L
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:L
Last Name:DARDEN
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 1:12417 ASBURY DR
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-6144
Mailing Address - Country:US
Mailing Address - Phone:202-281-4378
Mailing Address - Fax:
Practice Address - Street 1:325 P ST SW APT 205
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2906
Practice Address - Country:US
Practice Address - Phone:202-256-5160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2019-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD-635-098-488790OtherDRIVERS LICENSE