Provider Demographics
NPI:1104559418
Name:NELSON, BRITTANY SHANY (PA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:SHANY
Last Name:NELSON
Suffix:
Gender:
Credentials:PA
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Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:471 CENTER ST
Practice Address - Street 2:
Practice Address - City:LUDLOW
Practice Address - State:MA
Practice Address - Zip Code:01056-2733
Practice Address - Country:US
Practice Address - Phone:413-625-3500
Practice Address - Fax:413-625-3655
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2025-03-26
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Provider Licenses
StateLicense IDTaxonomies
MAPA101518363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant