Provider Demographics
NPI:1558989442
Name:MARTIN, BRITTANY RICHELLE (APRN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RICHELLE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 W 6TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2540
Mailing Address - Country:US
Mailing Address - Phone:509-324-2980
Mailing Address - Fax:509-418-9462
Practice Address - Street 1:307 W 6TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2540
Practice Address - Country:US
Practice Address - Phone:509-324-2980
Practice Address - Fax:509-418-9462
Is Sole Proprietor?:No
Enumeration Date:2020-07-08
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61084152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily