Provider Demographics
NPI:1760136733
Name:TUCKER, BRITTANY (CLD)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:TUCKER
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 BELLAFINA CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-7004
Mailing Address - Country:US
Mailing Address - Phone:757-362-1434
Mailing Address - Fax:
Practice Address - Street 1:921 BELLAFINA CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23456-7004
Practice Address - Country:US
Practice Address - Phone:757-362-1434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula