Provider Demographics
NPI:1669962098
Name:ATWOOD, BRITTANI DANELLE (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANI
Middle Name:DANELLE
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:MS
Other - First Name:BRITTANI
Other - Middle Name:DANELLE
Other - Last Name:MAKEEVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:334 OSMAN STREET
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:OH
Mailing Address - Zip Code:44820
Mailing Address - Country:US
Mailing Address - Phone:419-569-5976
Mailing Address - Fax:
Practice Address - Street 1:990 S. PROSPECT STREET, SUITE 2
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6283
Practice Address - Country:US
Practice Address - Phone:740-383-7833
Practice Address - Fax:740-387-5244
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.022621363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner