Provider Demographics
NPI:1104370782
Name:CAROTHERS, BRITTANY (PA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:CAROTHERS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Mailing Address - Street 1:9060 E VIA LINDA STE 250
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5425
Mailing Address - Country:US
Mailing Address - Phone:919-879-1115
Mailing Address - Fax:919-516-0853
Practice Address - Street 1:1418 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FUQUAY VARINA
Practice Address - State:NC
Practice Address - Zip Code:27526-8901
Practice Address - Country:US
Practice Address - Phone:919-552-1733
Practice Address - Fax:919-552-1495
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-12027363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant