Provider Demographics
NPI: | 1578986139 |
---|---|
Name: | EDWARDS, BRITTLEE (CRT) |
Entity type: | Individual |
Prefix: | |
First Name: | BRITTLEE |
Middle Name: | |
Last Name: | EDWARDS |
Suffix: | |
Gender: | F |
Credentials: | CRT |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 3873 W COMMERCIAL BLVD |
Mailing Address - Street 2: | SUITE 174 |
Mailing Address - City: | FT LAUDERDALE |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33309-3315 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-451-6159 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3873 W COMMERCIAL BLVD |
Practice Address - Street 2: | SUITE 174 |
Practice Address - City: | FT LAUDERDALE |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33309-3315 |
Practice Address - Country: | US |
Practice Address - Phone: | 954-451-6159 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2014-01-31 |
Last Update Date: | 2014-01-31 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health |
No | 2278C0205X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Critical Care |
No | 2278E0002X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Emergency Care |
No | 2278E1000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Educational |
No | 2278G1100X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | General Care |
No | 2278P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Neonatal/Pediatrics |
No | 2278P4000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Patient Transport |