Provider Demographics
NPI:1851024988
Name:MATTHEWS, BRITTANY (CNA)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CAIRO
Mailing Address - State:IL
Mailing Address - Zip Code:62914-1651
Mailing Address - Country:US
Mailing Address - Phone:618-306-2102
Mailing Address - Fax:
Practice Address - Street 1:1100 HALLIDAY AVE APT 103
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:IL
Practice Address - Zip Code:62914-1985
Practice Address - Country:US
Practice Address - Phone:618-306-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-06
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide