1053207324 NPI number — BRITTANY LEIGH DERBY DNP

Table of content: BRITTANY LEIGH DERBY DNP (NPI 1053207324)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053207324 NPI number — BRITTANY LEIGH DERBY DNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DERBY
Provider First Name:
BRITTANY
Provider Middle Name:
LEIGH
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053207324
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/14/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1162
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HANCOCK
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
01237-1162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-594-7265
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 NORTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSFIELD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01201-4109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
413-447-2000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN2354560 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)