Provider Demographics
NPI:1306476676
Name:SHANEK, BRITTNEY LEE (APRN)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:LEE
Last Name:SHANEK
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:BRITTNEY
Other - Middle Name:LEE
Other - Last Name:CARLOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 73
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:AR
Mailing Address - Zip Code:71929-0073
Mailing Address - Country:US
Mailing Address - Phone:501-984-3332
Mailing Address - Fax:
Practice Address - Street 1:1900 MALVERN AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71901-7759
Practice Address - Country:US
Practice Address - Phone:501-623-9300
Practice Address - Fax:501-623-9305
Is Sole Proprietor?:No
Enumeration Date:2020-01-24
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR123707363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily