Provider Demographics
NPI:1336677699
Name:CANADY, BRITTANY (DNP, FNP)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:CANADY
Suffix:
Gender:F
Credentials:DNP, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 SW CENTER ST
Mailing Address - Street 2:PO BOX 187
Mailing Address - City:FASION
Mailing Address - State:NC
Mailing Address - Zip Code:28341-2834
Mailing Address - Country:US
Mailing Address - Phone:910-267-0421
Mailing Address - Fax:855-748-6239
Practice Address - Street 1:5 WHITEVILLE TOWNCENTER
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472
Practice Address - Country:US
Practice Address - Phone:910-212-6613
Practice Address - Fax:910-267-8986
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2018-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5009529363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily