Provider Demographics
NPI:1568233088
Name:MULLETT, BRITTANY (RDH, PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:
Last Name:MULLETT
Suffix:
Gender:F
Credentials:RDH, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:280 CHESTNUT STREET
Mailing Address - Street 2:2ND FL
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:413-794-1629
Practice Address - Street 1:21 DWIGHT ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1765
Practice Address - Country:US
Practice Address - Phone:413-794-5600
Practice Address - Fax:413-794-2733
Is Sole Proprietor?:No
Enumeration Date:2024-01-12
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MAPA100397363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical