Provider Demographics
NPI:1790355683
Name:KOENIG, BRITTANY (DNP, FNP, APRN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:KOENIG
Suffix:
Gender:F
Credentials:DNP, FNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9474 CALAIS CT
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2608
Mailing Address - Country:US
Mailing Address - Phone:615-480-4841
Mailing Address - Fax:
Practice Address - Street 1:9474 CALAIS CT
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2608
Practice Address - Country:US
Practice Address - Phone:615-480-4841
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29714363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily