Provider Demographics
NPI:1023348802
Name:SWIFT, BRITTANEY ELLIOTT (WHCNP)
Entity type:Individual
Prefix:
First Name:BRITTANEY
Middle Name:ELLIOTT
Last Name:SWIFT
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 E LEIGH ST FL 10
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298-5004
Mailing Address - Country:US
Mailing Address - Phone:804-828-4409
Mailing Address - Fax:804-806-7588
Practice Address - Street 1:1001 E LEIGH ST FL 10
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5004
Practice Address - Country:US
Practice Address - Phone:048-628-7429
Practice Address - Fax:804-806-7588
Is Sole Proprietor?:No
Enumeration Date:2009-12-30
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP113993363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX175597702Medicaid