Provider Demographics
NPI:1417403114
Name:ISEMINGER-SMITH, BRITTANY ANNE (PA-C, ATC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANNE
Last Name:ISEMINGER-SMITH
Suffix:
Gender:F
Credentials:PA-C, ATC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANNE
Other - Last Name:ISEMINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:80 TUCKAHOE TRL
Mailing Address - Street 2:
Mailing Address - City:HEDGESVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:25427-5593
Mailing Address - Country:US
Mailing Address - Phone:240-291-8648
Mailing Address - Fax:
Practice Address - Street 1:499 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25404-7534
Practice Address - Country:US
Practice Address - Phone:240-291-8648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA005482255A2300X
WVAT0013772255A2300X
MDC0009524363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer