Provider Demographics
NPI:1376985937
Name:KRAUTHEIM, BRITTANY JOHNSON (CNM, WHNP-BC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:JOHNSON
Last Name:KRAUTHEIM
Suffix:
Gender:F
Credentials:CNM, WHNP-BC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM, WHNP-BC
Mailing Address - Street 1:301 RANDOLPH ST
Mailing Address - Street 2:PO BOX 660
Mailing Address - City:DENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21629-0660
Mailing Address - Country:US
Mailing Address - Phone:410-479-4306
Mailing Address - Fax:410-479-1714
Practice Address - Street 1:503 A MUIR ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1848
Practice Address - Country:US
Practice Address - Phone:410-228-4045
Practice Address - Fax:410-221-6457
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC001206363LW0102X
MDR198499363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health