Provider Demographics
NPI:1295986420
Name:ADKISON, BRITTANY LYNN (MED)
Entity type:Individual
Prefix:MISS
First Name:BRITTANY
Middle Name:LYNN
Last Name:ADKISON
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 REMINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80524-3332
Mailing Address - Country:US
Mailing Address - Phone:970-484-7447
Mailing Address - Fax:970-484-7471
Practice Address - Street 1:729 REMINGTON ST
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80524-3332
Practice Address - Country:US
Practice Address - Phone:970-484-7447
Practice Address - Fax:970-484-7471
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health