Provider Demographics
NPI:1013331164
Name:BRITTINGHAM, NATALIE
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:
Last Name:BRITTINGHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:EVE
Other - Last Name:HAGSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27120 WYNONA ST
Mailing Address - Street 2:
Mailing Address - City:SHADY POINT
Mailing Address - State:OK
Mailing Address - Zip Code:74956-2237
Mailing Address - Country:US
Mailing Address - Phone:918-839-8358
Mailing Address - Fax:
Practice Address - Street 1:27120 WYNONA ST
Practice Address - Street 2:
Practice Address - City:SHADY POINT
Practice Address - State:OK
Practice Address - Zip Code:74956-2237
Practice Address - Country:US
Practice Address - Phone:918-839-8358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator