MEDICARE: BRITTANY ANN POFF FNP

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
1	363LF0000X	Family Nurse Practitioner	8827	MN

General Provider Information

NPI Number	:	1235863044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ANN POFF FNP

Provider Business Mailing Address
First Line	:	5901 GOLDEN HILLS DR
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55416-1225
Country	:	US
Telephone Number	:	763-765-7590
Fax Number	:	763-544-0439

Provider Business Practice Location Address
First Line	:	5901 GOLDEN HILLS DR
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55416-1225
Country	:	US
Telephone Number	:	763-765-7590
Fax Number	:	763-544-0439

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2022
Last Update Date	:	02/19/2025

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