Healthcare Provider Details

I. General information

NPI: 1548509599
Provider Name (Legal Business Name): BRITTNEY N GERMOND PNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2013
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2485 E WABASH ST
FRANKFORT IN
46041-9400
US

IV. Provider business mailing address

2485 E WABASH ST
FRANKFORT IN
46041-9400
US

V. Phone/Fax

Practice location:
  • Phone: 765-656-3985
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71004321A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: