Provider Demographics
NPI:1053878934
Name:LITTLEPAGE, BRITTANY LYNN (LPN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:LITTLEPAGE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-2123
Mailing Address - Country:US
Mailing Address - Phone:585-730-3582
Mailing Address - Fax:
Practice Address - Street 1:707 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-2123
Practice Address - Country:US
Practice Address - Phone:585-730-3582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-27
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY316619-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY316619-1OtherLPN