Provider Demographics
NPI:1164208799
Name:ARDELEAN, BRITTANY (RN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:ARDELEAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:242 FARM CT
Mailing Address - Street 2:
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-9789
Mailing Address - Country:US
Mailing Address - Phone:630-608-9095
Mailing Address - Fax:
Practice Address - Street 1:242 FARM CT
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-9789
Practice Address - Country:US
Practice Address - Phone:630-608-9095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.516759163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse