Provider Demographics
NPI:1386980803
Name:RODGERS, BRITTNEY (STNA)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:RODGERS
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1867 ROSEMONT RD
Mailing Address - Street 2:
Mailing Address - City:EAST CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44112-3908
Mailing Address - Country:US
Mailing Address - Phone:216-338-0798
Mailing Address - Fax:
Practice Address - Street 1:1867 ROSEMONT RD
Practice Address - Street 2:
Practice Address - City:EAST CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44112-3908
Practice Address - Country:US
Practice Address - Phone:216-338-0798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH401257090611376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide