Provider Demographics
NPI:1942760434
Name:MACNEIL, BRITTANY CHRISTINA
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:CHRISTINA
Last Name:MACNEIL
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 1:214 E MARYLAND AVE APT A
Mailing Address - Street 2:
Mailing Address - City:ALDAN
Mailing Address - State:PA
Mailing Address - Zip Code:19018-3117
Mailing Address - Country:US
Mailing Address - Phone:215-713-7862
Mailing Address - Fax:
Practice Address - Street 1:214 E MARYLAND AVE APT A
Practice Address - Street 2:
Practice Address - City:ALDAN
Practice Address - State:PA
Practice Address - Zip Code:19018-3117
Practice Address - Country:US
Practice Address - Phone:215-713-7862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program