Healthcare Provider Details

I. General information

NPI: 1649005885
Provider Name (Legal Business Name): BRITTANY HORAN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 PROFESSIONAL VIEW DR BLDG 300
FREEHOLD NJ
07728-7904
US

IV. Provider business mailing address

326 PROFESSIONAL VIEW DR BLDG 300
FREEHOLD NJ
07728-7904
US

V. Phone/Fax

Practice location:
  • Phone: 732-431-8400
  • Fax:
Mailing address:
  • Phone: 732-431-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15121200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: