Provider Demographics
NPI:1265701601
Name:LOVEGROVE, BRITTA HAHNE (RN)
Entity type:Individual
Prefix:
First Name:BRITTA
Middle Name:HAHNE
Last Name:LOVEGROVE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 WATERTROUGH RD
Mailing Address - Street 2:
Mailing Address - City:BERNE
Mailing Address - State:NY
Mailing Address - Zip Code:12023-3627
Mailing Address - Country:US
Mailing Address - Phone:518-872-1278
Mailing Address - Fax:
Practice Address - Street 1:129 WATERTROUGH RD
Practice Address - Street 2:
Practice Address - City:BERNE
Practice Address - State:NY
Practice Address - Zip Code:12023-3627
Practice Address - Country:US
Practice Address - Phone:518-872-1278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-14
Last Update Date:2011-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY319176-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse