=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316862626
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITTANY MARCUM
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/13/2026
-----------------------------------------------------
Last Update Date | 08/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 MAPLE AVE
-----------------------------------------------------
City | TRENTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45067-1849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-867-3440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 100 MAPLE AVE
-----------------------------------------------------
City | TRENTON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45067-1849
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-867-3440
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WS0200X
-----------------------------------------------------
Taxonomy Name | School Registered Nurse
-----------------------------------------------------
License Number | RN.452917
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------