Provider Demographics
NPI:1740098656
Name:RACINE, BRITTNEY ROSE (RN-BSN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:ROSE
Last Name:RACINE
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 10TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:CUTBANK
Mailing Address - State:MT
Mailing Address - Zip Code:59427
Mailing Address - Country:US
Mailing Address - Phone:406-250-6631
Mailing Address - Fax:
Practice Address - Street 1:215 2ND ST SW
Practice Address - Street 2:
Practice Address - City:BROWNING
Practice Address - State:MT
Practice Address - Zip Code:59417
Practice Address - Country:US
Practice Address - Phone:406-250-6631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTNUR-RN-LIC-146027163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health