Provider Demographics
NPI:1639896871
Name:CONNELLY, BRITTANY MORGAN
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:MORGAN
Last Name:CONNELLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MORGAN
Other - Last Name:SWIENEICKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1419 DELTA CIRCLE
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:AR
Mailing Address - Zip Code:72150
Mailing Address - Country:US
Mailing Address - Phone:585-993-3440
Mailing Address - Fax:
Practice Address - Street 1:1419 DELTA CIRCLE
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:AR
Practice Address - Zip Code:72150
Practice Address - Country:US
Practice Address - Phone:585-993-3440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider