Provider Demographics
NPI:1487243291
Name:MORMAN, BRITTANY (CD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:MORMAN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:583 SENECA AVE APT 3R
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-2123
Mailing Address - Country:US
Mailing Address - Phone:818-621-6439
Mailing Address - Fax:
Practice Address - Street 1:583 SENECA AVE APT 3R
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-2123
Practice Address - Country:US
Practice Address - Phone:818-621-6439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator