Provider Demographics
NPI:1194180356
Name:SEWELL, BRITTANY ANN (NP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:SEWELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16341 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-7030
Mailing Address - Country:US
Mailing Address - Phone:708-297-6052
Mailing Address - Fax:
Practice Address - Street 1:5851 W 95TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-2394
Practice Address - Country:US
Practice Address - Phone:708-636-1601
Practice Address - Fax:708-636-1825
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-15
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041376555163W00000X
IL209014157363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse