Provider Demographics
NPI:1730693797
Name:ANDERSON, BRITTNY KENDRA (CNA, HHA)
Entity type:Individual
Prefix:MS
First Name:BRITTNY
Middle Name:KENDRA
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:CNA, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312A S TEMPLE AVE
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221-5022
Mailing Address - Country:US
Mailing Address - Phone:562-794-3962
Mailing Address - Fax:
Practice Address - Street 1:1312A S TEMPLE AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-5022
Practice Address - Country:US
Practice Address - Phone:562-794-3962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00260982374U00000X
CA00868942376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide