Provider Demographics
NPI:1710569967
Name:HUSLEY, BRITTANY DANIELLE (N/A)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:DANIELLE
Last Name:HUSLEY
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13710 JOHN LEE RD
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-9652
Mailing Address - Country:US
Mailing Address - Phone:228-697-0004
Mailing Address - Fax:
Practice Address - Street 1:STE F9 14231 SEAWAY RD
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503
Practice Address - Country:US
Practice Address - Phone:228-697-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156F00000XEye and Vision Services ProvidersTechnician/TechnologistGroup - Single Specialty