Provider Demographics
NPI:1699387217
Name:ELDRIDGE, BRITTANY (LM, CPM)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:ELDRIDGE
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 BEMIS ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-3019
Mailing Address - Country:US
Mailing Address - Phone:415-818-7547
Mailing Address - Fax:
Practice Address - Street 1:71 BEMIS ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-3019
Practice Address - Country:US
Practice Address - Phone:415-818-7547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA614176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife