Provider Demographics
NPI:1710674262
Name:AMOS, BRITTANY KAY
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:KAY
Last Name:AMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 MARSEILLES AVE
Mailing Address - Street 2:
Mailing Address - City:UPPER SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:43351-1625
Mailing Address - Country:US
Mailing Address - Phone:419-310-9835
Mailing Address - Fax:
Practice Address - Street 1:703 MARSEILLES AVE
Practice Address - Street 2:
Practice Address - City:UPPER SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:43351-1625
Practice Address - Country:US
Practice Address - Phone:419-310-9835
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide