Provider Demographics
NPI:1033715636
Name:WADSWORTH, BRITTANY (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WADSWORTH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17846 COUNTRY PLACE DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-6412
Mailing Address - Country:US
Mailing Address - Phone:720-514-1734
Mailing Address - Fax:
Practice Address - Street 1:17846 COUNTRY PLACE DR
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77302-6412
Practice Address - Country:US
Practice Address - Phone:720-514-1734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-08
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX104667363LF0000X
TX876470163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily