Provider Demographics
NPI:1952188591
Name:DIMAGGIO, BRITTANY (MN, RN, APNP, AGCNS)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:DIMAGGIO
Suffix:
Gender:
Credentials:MN, RN, APNP, AGCNS
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:GRAFTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:600 HIGHLAND AVE # B6479
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53792-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1520 VERNON ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:WI
Practice Address - Zip Code:53589-2260
Practice Address - Country:US
Practice Address - Phone:608-205-0505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-08
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI257727-30163W00000X
WI2024087725364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist
No163W00000XNursing Service ProvidersRegistered Nurse