Provider Demographics
NPI:1720572860
Name:HALL, BRITTNEY R
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:R
Last Name:HALL
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 1:3749 MARIA CIR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32303-2133
Mailing Address - Country:US
Mailing Address - Phone:850-210-9799
Mailing Address - Fax:
Practice Address - Street 1:3749 MARIA CIR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-2133
Practice Address - Country:US
Practice Address - Phone:850-210-9799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care