Provider Demographics
NPI:1467961326
Name:SEAGREN, BRITTANI ANN (APRN-NP, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:BRITTANI
Middle Name:ANN
Last Name:SEAGREN
Suffix:
Gender:F
Credentials:APRN-NP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 DOUBLE JACK ST
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-9630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1490 E WALNUT ST STE A
Practice Address - Street 2:
Practice Address - City:WATSEKA
Practice Address - State:IL
Practice Address - Zip Code:60970-1806
Practice Address - Country:US
Practice Address - Phone:815-432-7693
Practice Address - Fax:815-936-7228
Is Sole Proprietor?:No
Enumeration Date:2017-09-23
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.016657363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily