Provider Demographics
NPI:1376091397
Name:OATES, BRITTANEY ALICE (CNM)
Entity Type:Individual
Prefix:
First Name:BRITTANEY
Middle Name:ALICE
Last Name:OATES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:BRITTANEY
Other - Middle Name:ALICE
Other - Last Name:VARGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2200 JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-7101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4126 N HOLLAND SYLVANIA RD STE 220
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3537
Practice Address - Country:US
Practice Address - Phone:419-517-7600
Practice Address - Fax:419-517-7598
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704303140367A00000X
OHAPRN.CNM.019317367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife