Provider Demographics
NPI:1053191312
Name:PANGERL, BRITTANY LYNN (APRN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:PANGERL
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 1:2900 N MILITARY TRL STE 247
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-6362
Mailing Address - Country:US
Mailing Address - Phone:561-391-9661
Mailing Address - Fax:561-391-8981
Practice Address - Street 1:2900 N MILITARY TRL STE 247
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6362
Practice Address - Country:US
Practice Address - Phone:561-391-9661
Practice Address - Fax:561-391-8981
Is Sole Proprietor?:No
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028797363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner