Provider Demographics
NPI:1629839824
Name:FITZPATRICK, BRITTANY NICHOLE (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:NICHOLE
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 BURKHOLDER RD
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:OH
Mailing Address - Zip Code:43410-1207
Mailing Address - Country:US
Mailing Address - Phone:239-227-6454
Mailing Address - Fax:
Practice Address - Street 1:1305 BURKHOLDER RD
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:OH
Practice Address - Zip Code:43410-1207
Practice Address - Country:US
Practice Address - Phone:239-227-6454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0035673363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily