Provider Demographics
NPI:1609607837
Name:SUGDEN, BRITTON
Entity type:Individual
Prefix:
First Name:BRITTON
Middle Name:
Last Name:SUGDEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2713 SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2026
Mailing Address - Country:US
Mailing Address - Phone:610-389-0588
Mailing Address - Fax:
Practice Address - Street 1:2713 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2026
Practice Address - Country:US
Practice Address - Phone:610-389-0588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0071455163W00000X
PARN730646163W00000X
NY711304-01163W00000X
NJ26NR24806700163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse