Provider Demographics
NPI:1770109985
Name:PETTIGREW, BRITNEY (FNP)
Entity type:Individual
Prefix:
First Name:BRITNEY
Middle Name:
Last Name:PETTIGREW
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:294 N NC 16 BUSINESS HWY STE A
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8741
Mailing Address - Country:US
Mailing Address - Phone:704-660-4041
Mailing Address - Fax:704-489-2900
Practice Address - Street 1:294 N NC 16 BUSINESS HWY STE A
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:NC
Practice Address - Zip Code:28037-8741
Practice Address - Country:US
Practice Address - Phone:704-660-4041
Practice Address - Fax:704-489-2900
Is Sole Proprietor?:No
Enumeration Date:2020-06-23
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013240363L00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner