Healthcare Provider Details
I. General information
NPI: 1992018998
Provider Name (Legal Business Name): BRITTANY L BARGER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/19/2010
Last Update Date: 12/02/2020
Certification Date: 12/02/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5778 DARROW RD # 201
HUDSON OH
44236-3808
US
IV. Provider business mailing address
24701 EUCLID AVE THIRD FLOOR BILLING SERVICES
EUCLID OH
44117-1714
US
V. Phone/Fax
- Phone: 330-655-2161
- Fax: 330-650-2116
- Phone: 330-655-2161
- Fax: 330-650-2116
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | RN325845 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 11656-NP |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: