Provider Demographics
NPI:1659151769
Name:LOOK, BRITTANY (RN, CCM)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LOOK
Suffix:
Gender:F
Credentials:RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 PORTABELLO RD
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-1016
Mailing Address - Country:US
Mailing Address - Phone:207-215-8143
Mailing Address - Fax:
Practice Address - Street 1:13 PORTABELLO RD
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:ME
Practice Address - Zip Code:04330-1016
Practice Address - Country:US
Practice Address - Phone:207-215-8143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN53777163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management