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NPI Code Detail

MEDICARE: STEPHANIE MARIE BRITTAIN FNP-C

MEDICARE: STEPHANIE MARIE BRITTAIN FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerF356938-01NY

General Provider Information

NPI Number : 1023968534
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MARIE BRITTAIN FNP-C
Provider Business Mailing Address
First Line : 505 FERN RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13219-2215
Country : US
Telephone Number : 315-395-7602
Fax Number :
Provider Business Practice Location Address
First Line : 4820 W TAFT RD STE 209
Second Line :
City : LIVERPOOL
State : NY
Zip : 13088-2806
Country : US
Telephone Number : 315-448-6215
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2026
Last Update Date : 02/03/2026

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