Provider Demographics
NPI:1891439097
Name:TRAFICANTO, BRITTANY RAE (NP)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:RAE
Last Name:TRAFICANTO
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 1:3199 PAINTED LAKE CIR APT 304
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-4910
Mailing Address - Country:US
Mailing Address - Phone:469-442-7036
Mailing Address - Fax:
Practice Address - Street 1:6950 LEBANON RD STE 105
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-6997
Practice Address - Country:US
Practice Address - Phone:214-393-7284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-24
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1064162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily