MEDICARE: BRITTANY THOMSON NP-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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.019905	OH

General Provider Information

NPI Number	:	1275081010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY THOMSON NP-C

Provider Business Mailing Address
First Line	:	435 SOUTHAMPTON DR
Second Line	:
City	:	AURORA
State	:	OH
Zip	:	44202-6721
Country	:	US
Telephone Number	:	724-777-4121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1391 W 5TH AVE
Second Line	:	SUITE 260
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2902
Country	:	US
Telephone Number	:	844-326-3119
Fax Number	:

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

Provider Enumeration Date	:	09/21/2016
Last Update Date	:	09/21/2016

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