Provider Demographics
NPI:1750999694
Name:IBBITSON, BRITTNEY (RN)
Entity type:Individual
Prefix:MISS
First Name:BRITTNEY
Middle Name:
Last Name:IBBITSON
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:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:ME
Mailing Address - Zip Code:04944-0159
Mailing Address - Country:US
Mailing Address - Phone:207-509-0182
Mailing Address - Fax:
Practice Address - Street 1:16 PAGE TERRACE
Practice Address - Street 2:
Practice Address - City:HINCKLEY
Practice Address - State:ME
Practice Address - Zip Code:04944
Practice Address - Country:US
Practice Address - Phone:207-660-5963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN71309163WC0400X, 163WC1600X, 163WP0807X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent