Healthcare Provider Details

I. General information

NPI: 1669023131
Provider Name (Legal Business Name): BRITTANY ELIZABETH THOMAS APRN, FNP, NNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2019
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

494 N 127TH ST E STE 200
WICHITA KS
67206-2872
US

IV. Provider business mailing address

494 N 127TH ST E STE 200
WICHITA KS
67206-2872
US

V. Phone/Fax

Practice location:
  • Phone: 316-500-7603
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number53-79008-122
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number53-79008-122
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: