Provider Demographics
NPI:1639741697
Name:DYNES, BRITTANY GABRIELLE (AGACNP - BC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:GABRIELLE
Last Name:DYNES
Suffix:
Gender:F
Credentials:AGACNP - BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7677 YANKEE ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45459-3475
Mailing Address - Country:US
Mailing Address - Phone:937-424-0012
Mailing Address - Fax:937-424-0077
Practice Address - Street 1:7677 YANKEE ST STE 140
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45459-3475
Practice Address - Country:US
Practice Address - Phone:937-424-0012
Practice Address - Fax:937-424-0077
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0029107363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care