Fraidenburg, Brittany Jean

Fraidenburg, Brittany Jean is an individual health care provider with primary practice located at 2009 Ne 117Th St Ste 101 , Vancouver WA 98686-4022. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fraidenburg, Brittany Jean can be contacted via phone (360) 566-9112.

Contact Information

Primary practice address
2009 Ne 117Th St Ste 101 Vancouver WA 98686-4022
Phone: (360) 566-9112
Fax: (360) 566-9113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X LICENSE Washington

Profile Details

NPI number 1104300276
LBN Legal business name Fraidenburg, Brittany Jean
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2018
Last updated Jun 27th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104300276 NPPES
Washington MEDICAID 200537

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