Provider Demographics
NPI:1710754213
Name:YOUNG, BRITTNEY NAN (M ED)
Entity Type:Individual
Prefix:MS
First Name:BRITTNEY
Middle Name:NAN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:NAN
Other - Last Name:CHURCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:903 HAZARD AVE
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49048-1987
Mailing Address - Country:US
Mailing Address - Phone:269-377-3138
Mailing Address - Fax:
Practice Address - Street 1:2538 S 26TH ST
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49048-9610
Practice Address - Country:US
Practice Address - Phone:269-343-0747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program