Provider Demographics
NPI:1861027526
Name:FREEMAN, BRITTANI ELYSSIA (WHNP)
Entity Type:Individual
Prefix:
First Name:BRITTANI
Middle Name:ELYSSIA
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:MRS
Other - First Name:BRITTANI
Other - Middle Name:
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:WHNP
Mailing Address - Street 1:9930 W INDIAN SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5902
Mailing Address - Country:US
Mailing Address - Phone:623-846-7558
Mailing Address - Fax:623-846-1674
Practice Address - Street 1:9930 W INDIAN SCHOOL RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5902
Practice Address - Country:US
Practice Address - Phone:623-846-7558
Practice Address - Fax:623-846-1674
Is Sole Proprietor?:No
Enumeration Date:2020-03-03
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN194258363LS0200X
AZ257854363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LS0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerSchool