Healthcare Provider Details

I. General information

NPI: 1558028456
Provider Name (Legal Business Name): BRITTANY ELLEEN CRANDELL MSN, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6251 MIAMI VALLEY WAY STE 210A
HUBER HEIGHTS OH
45424-5464
US

IV. Provider business mailing address

425 ARLINGTON RD APT 15
BROOKVILLE OH
45309-1134
US

V. Phone/Fax

Practice location:
  • Phone: 937-236-2155
  • Fax:
Mailing address:
  • Phone: 937-825-7191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0030350
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: