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NPI Code Detail

MEDICARE: BRITTNAY PHTHISIC FNP-BC

MEDICARE: BRITTNAY PHTHISIC FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner5024693NC

General Provider Information

NPI Number : 1902731052
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNAY PHTHISIC FNP-BC
Provider Business Mailing Address
First Line : 711 ROANOKE AVE
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5643
Country : US
Telephone Number : 252-338-4412
Fax Number : 252-338-4440
Provider Business Practice Location Address
First Line : 711 ROANOKE AVE
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5643
Country : US
Telephone Number : 252-338-4412
Fax Number : 252-338-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2026
Last Update Date : 06/17/2026

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Directions to “ BRITTNAY PHTHISIC FNP-BC” Practice Location

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