Provider Demographics
NPI:1174294789
Name:PHILLIPS, BRITTANIA RENE (DNP, APRN)
Entity Type:Individual
Prefix:
First Name:BRITTANIA
Middle Name:RENE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:BRITTANIA
Other - Middle Name:RENE
Other - Last Name:STAROSTKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:521 KENT DR
Mailing Address - Street 2:
Mailing Address - City:WENTZVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63385-1316
Mailing Address - Country:US
Mailing Address - Phone:314-707-5956
Mailing Address - Fax:
Practice Address - Street 1:5700 MEXICO RD STE 8
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1667
Practice Address - Country:US
Practice Address - Phone:636-477-6464
Practice Address - Fax:636-410-9291
Is Sole Proprietor?:No
Enumeration Date:2021-09-23
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20021037887363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health