MEDICARE: BRITTANY ELLEEN CRANDELL MSN, APRN

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.0030350	OH

General Provider Information

NPI Number	:	1558028456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ELLEEN CRANDELL MSN, APRN

Provider Business Mailing Address
First Line	:	425 ARLINGTON RD APT 15
Second Line	:
City	:	BROOKVILLE
State	:	OH
Zip	:	45309-1134
Country	:	US
Telephone Number	:	937-825-7191
Fax Number	:

Provider Business Practice Location Address
First Line	:	6251 MIAMI VALLEY WAY STE 210A
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-5464
Country	:	US
Telephone Number	:	937-236-2155
Fax Number	:

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

Provider Enumeration Date	:	11/26/2021
Last Update Date	:	12/09/2025

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