Healthcare Provider Details

I. General information

NPI: 1720507296
Provider Name (Legal Business Name): BRITTANY MINIHAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 GROVE ST
BRAINTREE MA
02184-7323
US

IV. Provider business mailing address

357 GROVE ST
BRAINTREE MA
02184-7323
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2307932
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: