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NPI 1992449193

NPI 1992449193 : BRITTNEY GILL AGACNP : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1992449193
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    Entity Type          |    Individual 
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    Provider Name        |    BRITTNEY GILL AGACNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/24/2022
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    Last Update Date     |    06/04/2024
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Provider Practice Location Address
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    Address Line         |    250 E DUNLAP AVE 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85020-2825
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    Country              |    US
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    Telephone            |    480-331-6721
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5838 E LARKSPUR DR 
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85254-4358
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    Country              |    US
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    Telephone            |    540-860-8044
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    277324
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    0001259160
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    4704353771
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    License Number State |    MI
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