Healthcare Provider Details

I. General information

NPI: 1598198079
Provider Name (Legal Business Name): BRITTANY ELIZABETH ENZ APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 05/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 WHITES PATH YARMOUTH MEDICAL CENTER LLC
SOUTH YARMOUTH MA
02664-1221
US

IV. Provider business mailing address

23 WHITES PATH YARMOUTH MEDICAL CENTER LLC
SOUTH YARMOUTH MA
02664-1221
US

V. Phone/Fax

Practice location:
  • Phone: 508-760-2054
  • Fax: 508-760-1218
Mailing address:
  • Phone: 508-760-2054
  • Fax: 508-760-1218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5469
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2277498
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: