Provider Demographics
NPI:1568155059
Name:VREELAND, BRITTANY MAUREEN (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MAUREEN
Last Name:VREELAND
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HIDDEN HILLS CT
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-3646
Mailing Address - Country:US
Mailing Address - Phone:845-545-0747
Mailing Address - Fax:
Practice Address - Street 1:1 HIDDEN HILLS CT
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:NY
Practice Address - Zip Code:10990-3646
Practice Address - Country:US
Practice Address - Phone:845-545-0747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030036363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant