Provider Demographics
NPI:1689900086
Name:MCCOLLUM, BRITTANY SHARPE (CCE, CD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SHARPE
Last Name:MCCOLLUM
Suffix:
Gender:F
Credentials:CCE, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-1130
Mailing Address - Country:US
Mailing Address - Phone:267-261-0284
Mailing Address - Fax:
Practice Address - Street 1:1628 S 9TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-1130
Practice Address - Country:US
Practice Address - Phone:267-261-0284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula