Provider Demographics
NPI:1295113934
Name:GEHM, BRITTANY (APN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:GEHM
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:23 POCONO RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-3023
Mailing Address - Country:US
Mailing Address - Phone:973-316-1701
Mailing Address - Fax:973-316-1708
Practice Address - Street 1:23 POCONO RD
Practice Address - Street 2:SUITE 100
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-3023
Practice Address - Country:US
Practice Address - Phone:973-316-1701
Practice Address - Fax:973-316-1708
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00566800363L00000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology