Provider Demographics
NPI:1255940292
Name:BRONER, BRITTANY MONIQUE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MONIQUE
Last Name:BRONER
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 1:904 FELDER ST
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-4319
Mailing Address - Country:US
Mailing Address - Phone:229-349-2865
Mailing Address - Fax:
Practice Address - Street 1:904 FELDER ST
Practice Address - Street 2:
Practice Address - City:AMERICUS
Practice Address - State:GA
Practice Address - Zip Code:31709-4319
Practice Address - Country:US
Practice Address - Phone:229-349-2865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health