Provider Demographics
NPI:1336754639
Name:HERBER, BRITTANY MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:MARIE
Last Name:HERBER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:MARIE
Other - Last Name:WALTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 SOLOMONS CT
Mailing Address - Street 2:
Mailing Address - City:HEDGESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25427-3683
Mailing Address - Country:US
Mailing Address - Phone:304-283-9426
Mailing Address - Fax:
Practice Address - Street 1:912 SOMERSET BLVD STE 101
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-3954
Practice Address - Country:US
Practice Address - Phone:304-725-2663
Practice Address - Fax:304-724-0053
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant