Provider Demographics
NPI:1457900201
Name:BRITTON, TOSHA NICOLE (RN)
Entity Type:Individual
Prefix:
First Name:TOSHA
Middle Name:NICOLE
Last Name:BRITTON
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 1:1542 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-6665
Mailing Address - Country:US
Mailing Address - Phone:252-341-5537
Mailing Address - Fax:
Practice Address - Street 1:815 HARDEE RD
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-3320
Practice Address - Country:US
Practice Address - Phone:252-522-9151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC297434163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1730731365Medicaid