Provider Demographics
NPI:1710610381
Name:BAUR, BRITTANY D
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:D
Last Name:BAUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:HACKETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IBCLC
Mailing Address - Street 1:2732 BERKHAMSTEAD CIR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-0224
Mailing Address - Country:US
Mailing Address - Phone:704-793-8653
Mailing Address - Fax:
Practice Address - Street 1:2732 BERKHAMSTEAD CIR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-0224
Practice Address - Country:US
Practice Address - Phone:704-793-8653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL-307513174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN