Provider Demographics
NPI:1164851770
Name:PEYTON, BRITTANY (CRNA)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PEYTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-3804
Mailing Address - Country:US
Mailing Address - Phone:330-573-9381
Mailing Address - Fax:
Practice Address - Street 1:4900 HAYES RD
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-3804
Practice Address - Country:US
Practice Address - Phone:330-573-9381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-04
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH344358163W00000X
OH93416163W00000X
OHAPRN.CRNA.15259367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse