Provider Demographics
NPI:1427546373
Name:CLUNIE, BRITTANY D (APRN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:D
Last Name:CLUNIE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:D
Other - Last Name:MCDOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:11833 PERRY CROSSING PKWY
Mailing Address - Street 2:
Mailing Address - City:SELLERSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47172-8301
Mailing Address - Country:US
Mailing Address - Phone:337-281-1861
Mailing Address - Fax:
Practice Address - Street 1:1877 FARNSLEY RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-4701
Practice Address - Country:US
Practice Address - Phone:502-448-8622
Practice Address - Fax:502-448-4274
Is Sole Proprietor?:No
Enumeration Date:2018-04-26
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71007948A363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100525500Medicaid
IN300013491Medicaid