Provider Demographics
NPI:1366101040
Name:HAMPTON, BRIANNA DIANE (ATS)
Entity type:Individual
Prefix:MISS
First Name:BRIANNA
Middle Name:DIANE
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:ATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8541 COUNTY RD N
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:WI
Mailing Address - Zip Code:53813-9705
Mailing Address - Country:US
Mailing Address - Phone:608-732-6936
Mailing Address - Fax:
Practice Address - Street 1:8541 COUNTY RD N
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:WI
Practice Address - Zip Code:53813-9705
Practice Address - Country:US
Practice Address - Phone:608-732-6936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-10
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program