Healthcare Provider Details
I. General information
NPI: 1346700135
Provider Name (Legal Business Name): BRITTANY N HOWSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2019
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4202 W OAKWOOD PARK CT
FRANKLIN WI
53132-9118
US
IV. Provider business mailing address
PO BOX 735044
CHICAGO IL
60673-5044
US
V. Phone/Fax
- Phone: 414-423-5250
- Fax: 414-423-5256
- Phone: 414-423-5250
- Fax: 414-423-5256
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 75356-21 |
| License Number State | WI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: