Provider Demographics
NPI:1982264875
Name:PAITSEL, BRITTANY (RD, LD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PAITSEL
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:CANTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19289 SAINT JOSEPH STREET
Mailing Address - Street 2:SUITE C
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532
Mailing Address - Country:US
Mailing Address - Phone:228-831-8794
Mailing Address - Fax:
Practice Address - Street 1:19289 SAINT JOSEPH STREET
Practice Address - Street 2:SUITE C
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531
Practice Address - Country:US
Practice Address - Phone:228-831-8794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSD1999133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered