Provider Demographics
NPI:1659607588
Name:NOTMAN, BRITTANY R (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:R
Last Name:NOTMAN
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 1:3944 BRODHEAD RD
Mailing Address - Street 2:SUITE 7B
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3029
Mailing Address - Country:US
Mailing Address - Phone:724-773-0777
Mailing Address - Fax:724-443-0191
Practice Address - Street 1:3944 BRODHEAD RD
Practice Address - Street 2:SUITE 7B
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3029
Practice Address - Country:US
Practice Address - Phone:724-773-0777
Practice Address - Fax:724-443-0191
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054004363AM0700X
FLPA9107171363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical