Provider Demographics
NPI:1700420353
Name:HOLBROOK, BRITTANY HAZEL (CRNP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:HAZEL
Last Name:HOLBROOK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9
Mailing Address - Street 2:
Mailing Address - City:SAEGERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:16433-0009
Mailing Address - Country:US
Mailing Address - Phone:814-547-2221
Mailing Address - Fax:
Practice Address - Street 1:5039 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-2032
Practice Address - Country:US
Practice Address - Phone:814-866-1443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP020932363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily