Provider Demographics
NPI:1437591989
Name:SMITH, BRITTANY A (FNP-BC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:A
Last Name:SMITH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ASHTON
Other - Last Name:NEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:4605 MACCORKLE AVE SW
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1311
Mailing Address - Country:US
Mailing Address - Phone:304-766-2030
Mailing Address - Fax:304-766-2039
Practice Address - Street 1:4605 MACCORKLE AVE SW
Practice Address - Street 2:SUITE 402
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1311
Practice Address - Country:US
Practice Address - Phone:304-766-2030
Practice Address - Fax:304-766-2039
Is Sole Proprietor?:No
Enumeration Date:2013-07-25
Last Update Date:2017-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN75748NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily