Provider Demographics
NPI:1952811713
Name:VANBLARCOM, BRITTNEE LINN
Entity Type:Individual
Prefix:
First Name:BRITTNEE
Middle Name:LINN
Last Name:VANBLARCOM
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 1:277 STEVENS SHRS
Mailing Address - Street 2:
Mailing Address - City:COLDWATER
Mailing Address - State:MI
Mailing Address - Zip Code:49036-9227
Mailing Address - Country:US
Mailing Address - Phone:517-227-6087
Mailing Address - Fax:
Practice Address - Street 1:277 STEVENS SHRS
Practice Address - Street 2:
Practice Address - City:COLDWATER
Practice Address - State:MI
Practice Address - Zip Code:49036-9227
Practice Address - Country:US
Practice Address - Phone:517-227-6087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant