MEDICARE: BRITTANY HOLBROOK 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
1	363LF0000X	Family Nurse Practitioner	81413	WV

General Provider Information

NPI Number	:	1649642950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY HOLBROOK FNP-C

Provider Business Mailing Address
First Line	:	1200 J D ANDERSON DR
Second Line	:
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-3494
Country	:	US
Telephone Number	:	304-599-3074
Fax Number	:	304-599-1802

Provider Business Practice Location Address
First Line	:	1000 J D ANDERSON DR
Second Line	:	SUITE 401
City	:	MORGANTOWN
State	:	WV
Zip	:	26505-1241
Country	:	US
Telephone Number	:	304-599-3074
Fax Number	:	304-599-1802

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

Provider Enumeration Date	:	10/26/2015
Last Update Date	:	03/26/2025

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