Healthcare Provider Details

I. General information

NPI: 1073914883
Provider Name (Legal Business Name): BRITTANY ANN MASTERSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY ANN MONG PA-C

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 W OAK ST
TITUSVILLE PA
16354-1499
US

IV. Provider business mailing address

888 MARKET ST
MEADVILLE PA
16335-3318
US

V. Phone/Fax

Practice location:
  • Phone: 814-827-9770
  • Fax: 814-827-3556
Mailing address:
  • Phone: 814-807-1720
  • Fax: 814-807-1722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA052733
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: