Provider Demographics
NPI:1831769314
Name:LAEHN, BRITTANY ANN (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:LAEHN
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 21
Mailing Address - Street 2:
Mailing Address - City:GILMANTON
Mailing Address - State:WI
Mailing Address - Zip Code:54743-0021
Mailing Address - Country:US
Mailing Address - Phone:715-864-4799
Mailing Address - Fax:
Practice Address - Street 1:1185 W MOUNTAIN VIEW RD APT 1127
Practice Address - Street 2:
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37604-2528
Practice Address - Country:US
Practice Address - Phone:715-864-4799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4632363AM0700X, 363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical