Provider Demographics
NPI:1134651326
Name:VAN HOUTEN, BRITTANY NICHOLE (MD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:NICHOLE
Last Name:VAN HOUTEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 SOUTH DR STE 220
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-3255
Mailing Address - Country:US
Mailing Address - Phone:989-953-4360
Mailing Address - Fax:989-775-3187
Practice Address - Street 1:1201 SOUTH DR STE 220
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-3255
Practice Address - Country:US
Practice Address - Phone:989-953-4360
Practice Address - Fax:989-775-3187
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301504905207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty