Healthcare Provider Details

I. General information

NPI: 1770194797
Provider Name (Legal Business Name): BRITTANY HARDING FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2020
Last Update Date: 09/13/2023
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 N PENNSYLVANIA AVE
HANCOCK MD
21750-1135
US

IV. Provider business mailing address

131 N PENNSYLVANIA AVE
HANCOCK MD
21750-1135
US

V. Phone/Fax

Practice location:
  • Phone: 301-678-7007
  • Fax:
Mailing address:
  • Phone: 301-678-7007
  • Fax: 301-678-7009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR186058
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: