Provider Demographics
NPI:1487418745
Name:BRAINARD, BRITTNEY (APRN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:BRAINARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3379 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MINERAL RIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:44440-8800
Mailing Address - Country:US
Mailing Address - Phone:330-531-7543
Mailing Address - Fax:
Practice Address - Street 1:3379 MAIN ST
Practice Address - Street 2:
Practice Address - City:MINERAL RIDGE
Practice Address - State:OH
Practice Address - Zip Code:44440-8800
Practice Address - Country:US
Practice Address - Phone:330-531-7543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily