Provider Demographics
NPI:1306612528
Name:MAHN, BRITTANY
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:MAHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HARTVILLE CT
Mailing Address - Street 2:
Mailing Address - City:JARRELL
Mailing Address - State:TX
Mailing Address - Zip Code:76537-1958
Mailing Address - Country:US
Mailing Address - Phone:254-721-5472
Mailing Address - Fax:
Practice Address - Street 1:100 HARTVILLE CT
Practice Address - Street 2:
Practice Address - City:JARRELL
Practice Address - State:TX
Practice Address - Zip Code:76537-1958
Practice Address - Country:US
Practice Address - Phone:254-721-5472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN