Provider Demographics
NPI:1427629922
Name:HOOTEN, BRITTANY (APRN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HOOTEN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11440 HAMILTON AVE STE 206
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-1180
Mailing Address - Country:US
Mailing Address - Phone:513-648-9596
Mailing Address - Fax:513-648-9586
Practice Address - Street 1:11440 HAMILTON AVE STE 206
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-1180
Practice Address - Country:US
Practice Address - Phone:513-648-9596
Practice Address - Fax:513-648-9586
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0028998363LP0808X
OHAPRN.CNP.0028998363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty