Provider Demographics
NPI:1114571668
Name:MILLER, BRITTANY LYNN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 COMMERCE DR
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:WV
Mailing Address - Zip Code:25813-8985
Mailing Address - Country:US
Mailing Address - Phone:304-250-0150
Mailing Address - Fax:304-250-0153
Practice Address - Street 1:354 COMMERCE DR
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:WV
Practice Address - Zip Code:25813-8985
Practice Address - Country:US
Practice Address - Phone:304-250-0150
Practice Address - Fax:304-250-0153
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV104106363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner