MEDICARE: BRITNI DAWN ORR 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	AP132068	TX

General Provider Information

NPI Number	:	1669917498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITNI DAWN ORR FNP-C

Provider Business Mailing Address
First Line	:	7017 COVENANT LN
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79109-6880
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1616 S KENTUCKY ST
Second Line	:	SUITE B-100
City	:	AMARILLO
State	:	TX
Zip	:	79102-2252
Country	:	US
Telephone Number	:	806-355-8900
Fax Number	:	806-355-0134

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

Provider Enumeration Date	:	01/03/2017
Last Update Date	:	01/03/2017

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