Healthcare Provider Details

I. General information

NPI: 1891450391
Provider Name (Legal Business Name): BRITTNEY GARRIGUS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2021
Last Update Date: 11/01/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 HUGHES BLVD
MT. ORAB OH
45154
US

IV. Provider business mailing address

6048 HEIS TER
CINCINNATI OH
45230-1745
US

V. Phone/Fax

Practice location:
  • Phone: 937-346-8826
  • Fax:
Mailing address:
  • Phone: 513-519-7377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.CNP.0029878
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: