Provider Demographics
NPI:1518788678
Name:BRAUNSBERG, BRITTANY RAYN
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RAYN
Last Name:BRAUNSBERG
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 1:110 BEACON LIGHT RD
Mailing Address - Street 2:
Mailing Address - City:MUNCY
Mailing Address - State:PA
Mailing Address - Zip Code:17756-6550
Mailing Address - Country:US
Mailing Address - Phone:570-250-0934
Mailing Address - Fax:
Practice Address - Street 1:24 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-1321
Practice Address - Country:US
Practice Address - Phone:272-230-0314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA68513601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health