Provider Demographics
NPI:1154685543
Name:BRETZ, BRITTANY M (RN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:M
Last Name:BRETZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3760 PIPER ST
Mailing Address - Street 2:STE LL139
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-4665
Mailing Address - Country:US
Mailing Address - Phone:907-212-6240
Mailing Address - Fax:907-563-3217
Practice Address - Street 1:3760 PIPER ST
Practice Address - Street 2:STE LL139
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4665
Practice Address - Country:US
Practice Address - Phone:907-212-6240
Practice Address - Fax:907-563-3217
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK33845163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse