Provider Demographics
NPI:1790061067
Name:BRITTON, RACHEL (CD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BRITTON
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4678 MIDAS GOLD RD
Mailing Address - Street 2:
Mailing Address - City:HERRIMAN
Mailing Address - State:UT
Mailing Address - Zip Code:84096-2469
Mailing Address - Country:US
Mailing Address - Phone:801-842-8775
Mailing Address - Fax:
Practice Address - Street 1:4678 MIDAS GOLD RD
Practice Address - Street 2:
Practice Address - City:HERRIMAN
Practice Address - State:UT
Practice Address - Zip Code:84096-2469
Practice Address - Country:US
Practice Address - Phone:801-842-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2011-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT27-3674133374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula