Healthcare Provider Details

I. General information

NPI: 1568949386
Provider Name (Legal Business Name): BRITTANY SMITH FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 08/08/2022
Certification Date: 08/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6467 WOODLANDS PKWY # A
THE WOODLANDS TX
77381-3616
US

IV. Provider business mailing address

14903 DOGWOOD VIEW LN
CYPRESS TX
77429-6298
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-2915
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP138126
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: