Provider Demographics
NPI:1922854199
Name:WHITBECK, BRITTANY ANN (NP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:WHITBECK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:BOYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 AYRAULT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-8941
Mailing Address - Country:US
Mailing Address - Phone:585-602-2300
Mailing Address - Fax:
Practice Address - Street 1:800 AYRAULT RD STE 200
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-8941
Practice Address - Country:US
Practice Address - Phone:585-425-7460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-27
Last Update Date:2024-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY704871163W00000X
NY354281363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse