Provider Demographics
NPI:1700768579
Name:CHURCHWELL, BRITTANY VIKTORIA
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:VIKTORIA
Last Name:CHURCHWELL
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 1:22 CRAVEN ST
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-4919
Mailing Address - Country:US
Mailing Address - Phone:215-758-5916
Mailing Address - Fax:
Practice Address - Street 1:22 CRAVEN ST
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-4919
Practice Address - Country:US
Practice Address - Phone:215-758-5916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN318071164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse