Provider Demographics
NPI:1457820011
Name:INGEMANSEN, BRITTANY DANAE (CRNA)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:DANAE
Last Name:INGEMANSEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MS
Other - First Name:BRITTANY
Other - Middle Name:DANAE
Other - Last Name:HIGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:3705 GLENMONT DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76133-2953
Mailing Address - Country:US
Mailing Address - Phone:405-514-0081
Mailing Address - Fax:
Practice Address - Street 1:6606 LBJ FWY STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6524
Practice Address - Country:US
Practice Address - Phone:972-715-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-13
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH086922-23367500000X
OR10005296367500000X
TXAP140169367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered