Provider Demographics
NPI:1134696073
Name:ALUMBAUGH, BRITTANI LEIGH (APRN)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:LEIGH
Last Name:ALUMBAUGH
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:COLWICH
Mailing Address - State:KS
Mailing Address - Zip Code:67030-9573
Mailing Address - Country:US
Mailing Address - Phone:316-650-6563
Mailing Address - Fax:
Practice Address - Street 1:406 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67202-1058
Practice Address - Country:US
Practice Address - Phone:316-265-0705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSF10180294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily