Provider Demographics
NPI:1609527308
Name:HANTZ, BRITTNEY A (FNP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:A
Last Name:HANTZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 COUCH AVE
Mailing Address - Street 2:
Mailing Address - City:VAUGHN
Mailing Address - State:MT
Mailing Address - Zip Code:59487-9737
Mailing Address - Country:US
Mailing Address - Phone:951-776-7334
Mailing Address - Fax:
Practice Address - Street 1:2517 7TH AVE S STE A3
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-3033
Practice Address - Country:US
Practice Address - Phone:406-770-3022
Practice Address - Fax:406-770-3023
Is Sole Proprietor?:No
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTF12210386363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily