Provider Demographics
NPI:1679193502
Name:FILONOW, BRITTANI TAYLOR (NP)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:TAYLOR
Last Name:FILONOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 WINTER ST STE 110
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-8709
Mailing Address - Country:US
Mailing Address - Phone:833-224-6338
Mailing Address - Fax:
Practice Address - Street 1:575 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-2740
Practice Address - Country:US
Practice Address - Phone:617-964-1440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-21
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2326306363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner