Provider Demographics
NPI:1073914883
Name:MASTERSON, BRITTANY ANN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ANN
Last Name:MASTERSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:MONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:888 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3318
Mailing Address - Country:US
Mailing Address - Phone:814-807-1720
Mailing Address - Fax:814-807-1722
Practice Address - Street 1:150 WEST CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:TITUSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16354
Practice Address - Country:US
Practice Address - Phone:814-775-0555
Practice Address - Fax:814-775-0563
Is Sole Proprietor?:No
Enumeration Date:2014-09-11
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA052733363AM0700X
PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical