MEDICARE: BRITTANY PENDLETON APRN, PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0034841	OH

General Provider Information

NPI Number	:	1780462150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY PENDLETON APRN, PMHNP

Provider Business Mailing Address
First Line	:	5142 RYAN RD UNIT 5
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2067
Country	:	US
Telephone Number	:	419-324-6584
Fax Number	:

Provider Business Practice Location Address
First Line	:	5142 RYAN RD UNIT 5
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43614-2067
Country	:	US
Telephone Number	:	419-324-6584
Fax Number	:

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

Provider Enumeration Date	:	09/18/2023
Last Update Date	:	09/18/2023

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