Provider Demographics
NPI:1568289668
Name:DAVIDSON, BRITTANEY DE'SHAE (BSN, RN, IBCLC)
Entity type:Individual
Prefix:MS
First Name:BRITTANEY
Middle Name:DE'SHAE
Last Name:DAVIDSON
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 CHAPEL HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77018-1202
Mailing Address - Country:US
Mailing Address - Phone:713-299-4488
Mailing Address - Fax:
Practice Address - Street 1:5107 CHAPEL HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-1202
Practice Address - Country:US
Practice Address - Phone:713-299-4488
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-21
Last Update Date:2024-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX877178163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Multi-Specialty