Provider Demographics
NPI:1841156528
Name:MIKULLA, BRITNY ALEXIS
Entity type:Individual
Prefix:MRS
First Name:BRITNY
Middle Name:ALEXIS
Last Name:MIKULLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 WANONDOGER TRL
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-8107
Mailing Address - Country:US
Mailing Address - Phone:269-366-5406
Mailing Address - Fax:269-344-0285
Practice Address - Street 1:140 MICHIGAN AVE W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-3602
Practice Address - Country:US
Practice Address - Phone:269-366-5406
Practice Address - Fax:269-344-0285
Is Sole Proprietor?:No
Enumeration Date:2025-12-26
Last Update Date:2025-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator