Provider Demographics
NPI:1780462150
Name:PENDLETON, BRITTANY (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:PENDLETON
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5142 RYAN RD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2067
Mailing Address - Country:US
Mailing Address - Phone:419-324-6584
Mailing Address - Fax:
Practice Address - Street 1:5142 RYAN RD UNIT 5
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43614-2067
Practice Address - Country:US
Practice Address - Phone:419-324-6584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0034841363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health