Provider Demographics
NPI:1134670748
Name:MAURO, BRITTANY (APN)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:
Last Name:MAURO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:OGILVIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 HIDDEN VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2971
Mailing Address - Country:US
Mailing Address - Phone:908-415-3319
Mailing Address - Fax:
Practice Address - Street 1:46 NEWMAN SPRINGS RD E
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1530
Practice Address - Country:US
Practice Address - Phone:732-224-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-18
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00677700207QA0505X
NJ25NJ00677700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine