Provider Demographics
NPI:1881137594
Name:AYERS, BRITTANY (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:AYERS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS 21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:651-254-1669
Mailing Address - Fax:651-254-5292
Practice Address - Street 1:640 JACKSON ST
Practice Address - Street 2:MAIL STOP 11303C
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55101-2502
Practice Address - Country:US
Practice Address - Phone:651-254-0056
Practice Address - Fax:651-254-6870
Is Sole Proprietor?:No
Enumeration Date:2016-11-29
Last Update Date:2020-03-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363AM0700X
MN12274363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical