Provider Demographics
NPI:1649627936
Name:EPPARD, BRITTANY MAE MITCHELL (NP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MAE MITCHELL
Last Name:EPPARD
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 1:61 BEARPAW LOOP
Mailing Address - Street 2:
Mailing Address - City:BIGFORK
Mailing Address - State:MT
Mailing Address - Zip Code:59911-3597
Mailing Address - Country:US
Mailing Address - Phone:651-315-5684
Mailing Address - Fax:406-730-5027
Practice Address - Street 1:118 MAIN ST
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-4452
Practice Address - Country:US
Practice Address - Phone:406-219-1104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCNP4567363L00000X
MT128154363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner