Provider Demographics
NPI:1740680685
Name:TIHEN, BRITTNEY MARIE (FNP)
Entity type:Individual
Prefix:MS
First Name:BRITTNEY
Middle Name:MARIE
Last Name:TIHEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5688
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92616-5688
Mailing Address - Country:US
Mailing Address - Phone:949-631-6500
Mailing Address - Fax:949-631-9700
Practice Address - Street 1:1040 N MASON RD STE 103
Practice Address - Street 2:STE 103
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-6361
Practice Address - Country:US
Practice Address - Phone:314-454-8082
Practice Address - Fax:314-996-3133
Is Sole Proprietor?:No
Enumeration Date:2014-08-28
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2011025268363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILENROLLEDMedicaid