Provider Demographics
NPI:1184033623
Name:COUNTRYMAN, BRITTANY ADAMS (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:ADAMS
Last Name:COUNTRYMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LEIGH
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:5535 CANOGA AVE APT 124
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91367-6634
Mailing Address - Country:US
Mailing Address - Phone:803-429-9889
Mailing Address - Fax:
Practice Address - Street 1:5535 CANOGA AVE APT 124
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-6634
Practice Address - Country:US
Practice Address - Phone:803-429-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA732528163W00000X
CA95000191367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse