Provider Demographics
NPI:1295275683
Name:HARMON, BRITTANY MARIE (LM, CPM)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MARIE
Last Name:HARMON
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MARIE
Other - Last Name:THREADGILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7455 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-6132
Mailing Address - Country:US
Mailing Address - Phone:619-564-2562
Mailing Address - Fax:
Practice Address - Street 1:4443 30TH ST STE 205
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-4291
Practice Address - Country:US
Practice Address - Phone:619-312-1832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
CALM493176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula