Provider Demographics
NPI:1639452469
Name:BRATTLIE, BRIT (RN)
Entity Type:Individual
Prefix:MRS
First Name:BRIT
Middle Name:
Last Name:BRATTLIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 SCHOOL LN
Mailing Address - Street 2:
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-1242
Mailing Address - Country:US
Mailing Address - Phone:585-392-1000
Mailing Address - Fax:585-392-1012
Practice Address - Street 1:100 SCHOOL LN
Practice Address - Street 2:
Practice Address - City:HILTON
Practice Address - State:NY
Practice Address - Zip Code:14468-1242
Practice Address - Country:US
Practice Address - Phone:585-392-1000
Practice Address - Fax:585-392-1012
Is Sole Proprietor?:No
Enumeration Date:2011-09-28
Last Update Date:2011-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY292104163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse