Provider Demographics
NPI:1043569346
Name:WALP, BRITTANY (CNM)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:WALP
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:KROTZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:694 GOOD DR
Mailing Address - Street 2:STE 112
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2433
Mailing Address - Country:US
Mailing Address - Phone:717-845-1621
Mailing Address - Fax:717-854-6939
Practice Address - Street 1:694 GOOD DR STE 112
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-397-8177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNM-17304367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH359600Medicare PIN
OHH359600Medicare PIN
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI #