Provider Demographics
NPI:1649757352
Name:NEWLAND, BRITTANY (BS, HAD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:NEWLAND
Suffix:
Gender:F
Credentials:BS, HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 E BROADWAY BLVD STE 108
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3722
Mailing Address - Country:US
Mailing Address - Phone:520-790-9779
Mailing Address - Fax:
Practice Address - Street 1:5350 E BROADWAY BLVD STE 108
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3722
Practice Address - Country:US
Practice Address - Phone:520-790-9779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHADE10080332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZHADE10080OtherSTATE OF ARIZONA