Provider Demographics
NPI:1003628041
Name:WASSON, BRITTNEY SUE (RN, BSN, CCRN, SCRN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:SUE
Last Name:WASSON
Suffix:
Gender:F
Credentials:RN, BSN, CCRN, SCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2417 QUEENSWAY DR
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-7204
Mailing Address - Country:US
Mailing Address - Phone:937-422-6455
Mailing Address - Fax:
Practice Address - Street 1:2417 QUEENSWAY DR
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-7204
Practice Address - Country:US
Practice Address - Phone:937-422-6455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH468487163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine