Provider Demographics
NPI:1114482668
Name:RUPERT, BRITTANY V (APRN, FNP, BC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:V
Last Name:RUPERT
Suffix:
Gender:F
Credentials:APRN, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:159 MONTGOMERY LN
Mailing Address - Street 2:
Mailing Address - City:MINGO JUNCTION
Mailing Address - State:OH
Mailing Address - Zip Code:43938-1469
Mailing Address - Country:US
Mailing Address - Phone:740-632-4686
Mailing Address - Fax:
Practice Address - Street 1:159 MONTGOMERY LN
Practice Address - Street 2:
Practice Address - City:MINGO JUNCTION
Practice Address - State:OH
Practice Address - Zip Code:43938-1469
Practice Address - Country:US
Practice Address - Phone:740-632-4686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-08
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLE-00027247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily