Provider Demographics
NPI:1275057770
Name:SALEEBY, BRITTANY EARNHARDT (NP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:EARNHARDT
Last Name:SALEEBY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:TAYLOR
Other - Last Name:EARNHARDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:P.O. BOX 5787
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29304-5787
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:1095 IRON ORE ROAD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2239
Practice Address - Country:US
Practice Address - Phone:864-582-2900
Practice Address - Fax:864-582-4991
Is Sole Proprietor?:No
Enumeration Date:2017-07-27
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21166363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSCB8746084OtherMEDICARE PIN
SCNP4924Medicaid