Provider Demographics
NPI:1780300228
Name:CAMPBELL, BRITTANY ROBIN (CNA 1 & 2)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ROBIN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CNA 1 & 2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 GENTLE BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-9571
Mailing Address - Country:US
Mailing Address - Phone:252-375-9507
Mailing Address - Fax:
Practice Address - Street 1:4614 ROUNTREE RD
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-8746
Practice Address - Country:US
Practice Address - Phone:252-702-9216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC361306753747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider