Provider Demographics
NPI:1679286231
Name:PAPANIKOLAOU, BRITTANY BREANNE (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:BREANNE
Last Name:PAPANIKOLAOU
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4137 S CAMBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-7618
Mailing Address - Country:US
Mailing Address - Phone:850-346-4463
Mailing Address - Fax:
Practice Address - Street 1:5304 MILE STRETCH DR
Practice Address - Street 2:
Practice Address - City:HOLIDAY
Practice Address - State:FL
Practice Address - Zip Code:34690-6060
Practice Address - Country:US
Practice Address - Phone:727-940-5908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023217363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily