Provider Demographics
NPI:1225643968
Name:GREENE, BRITANNI O (DNP-PMHNP)
Entity Type:Individual
Prefix:DR
First Name:BRITANNI
Middle Name:O
Last Name:GREENE
Suffix:
Gender:F
Credentials:DNP-PMHNP
Other - Prefix:
Other - First Name:BRITANNI
Other - Middle Name:M
Other - Last Name:ODEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10650 CULEBRA RD # 104-548
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4949
Mailing Address - Country:US
Mailing Address - Phone:210-570-2060
Mailing Address - Fax:
Practice Address - Street 1:5805 CALLAGHAN RD STE 300
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78228-1129
Practice Address - Country:US
Practice Address - Phone:210-960-4352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010835363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health