Provider Demographics
NPI:1285309641
Name:HUSEREAU, BRITTANY TAYLOR (APRN-CNP)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:TAYLOR
Last Name:HUSEREAU
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1273 ASPEN RD
Mailing Address - Street 2:
Mailing Address - City:TESCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:67484-9198
Mailing Address - Country:US
Mailing Address - Phone:128-162-0812
Mailing Address - Fax:
Practice Address - Street 1:231 S ANDOVER RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-7919
Practice Address - Country:US
Practice Address - Phone:620-417-9012
Practice Address - Fax:405-445-3310
Is Sole Proprietor?:No
Enumeration Date:2021-08-09
Last Update Date:2021-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS53-80438-061363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner