Healthcare Provider Details

I. General information

NPI: 1275002073
Provider Name (Legal Business Name): BRITTANY KAY OESCH CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2018
Last Update Date: 09/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 MEDICAL CENTER DR STE 200
SPRINGFIELD OH
45504-2688
US

IV. Provider business mailing address

PO BOX 632110
CINCINNATI OH
45263-2110
US

V. Phone/Fax

Practice location:
  • Phone: 397-523-9050
  • Fax: 937-523-9059
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.023701
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: