Provider Demographics
NPI:1699581165
Name:GODFROY, BRITTANY NICOLE
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NICOLE
Last Name:GODFROY
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 1:3203 GAULEY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BELVA
Mailing Address - State:WV
Mailing Address - Zip Code:26656-8509
Mailing Address - Country:US
Mailing Address - Phone:681-779-2559
Mailing Address - Fax:
Practice Address - Street 1:3203 GAULEY RIVER RD
Practice Address - Street 2:
Practice Address - City:BELVA
Practice Address - State:WV
Practice Address - Zip Code:26656-8509
Practice Address - Country:US
Practice Address - Phone:681-779-2559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant