Provider Demographics
NPI:1457963308
Name:CARIE, BRITTANY SHAWN
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SHAWN
Last Name:CARIE
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 1:2524 S PADDOCK DR
Mailing Address - Street 2:
Mailing Address - City:WASILLA
Mailing Address - State:AK
Mailing Address - Zip Code:99654-8451
Mailing Address - Country:US
Mailing Address - Phone:907-350-1130
Mailing Address - Fax:
Practice Address - Street 1:2524 S PADDOCK DR
Practice Address - Street 2:
Practice Address - City:WASILLA
Practice Address - State:AK
Practice Address - Zip Code:99654-8451
Practice Address - Country:US
Practice Address - Phone:907-350-1130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program