Provider Demographics
NPI:1386266302
Name:GIRTON HERNANDEZ, BRITTANY MORIE (CPM-TN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MORIE
Last Name:GIRTON HERNANDEZ
Suffix:
Gender:F
Credentials:CPM-TN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4047 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:OLD HICKORY
Mailing Address - State:TN
Mailing Address - Zip Code:37138-2443
Mailing Address - Country:US
Mailing Address - Phone:765-655-5878
Mailing Address - Fax:615-747-1098
Practice Address - Street 1:5045 OLD HICKORY BLVD STE 203
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-2591
Practice Address - Country:US
Practice Address - Phone:615-669-6399
Practice Address - Fax:615-747-1098
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-13
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN98176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife