=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831840339
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRITNEY LYN WALDRIP APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2022
-----------------------------------------------------
Last Update Date | 02/01/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 238 DANIEL WEBSTER HWY
-----------------------------------------------------
City | MEREDITH
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03253-5803
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-279-7433
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 421 SQUAM LAKE RD
-----------------------------------------------------
City | CENTER SANDWICH
-----------------------------------------------------
State | NH
-----------------------------------------------------
Zip | 03227-3228
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 603-489-7031
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 072343-23
-----------------------------------------------------
License Number State | NH
-----------------------------------------------------