Provider Demographics
NPI:1043702731
Name:TUSKAN, BRITNEY NICOLE (DO)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:NICOLE
Last Name:TUSKAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2130 W SYCAMORE ST STE 260
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46901-6460
Mailing Address - Country:US
Mailing Address - Phone:765-236-8457
Mailing Address - Fax:
Practice Address - Street 1:2130 W SYCAMORE ST STE 260
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46901-6460
Practice Address - Country:US
Practice Address - Phone:765-236-8457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN11019895A390200000X
IN02006740A207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program