Provider Demographics
NPI:1053905372
Name:SHINGLETON, BRITTANY ANN
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:SHINGLETON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:
Other - Last Name:O'BRIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:1202 SE BRIARCROFT ST
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-3318
Mailing Address - Country:US
Mailing Address - Phone:816-872-8110
Mailing Address - Fax:
Practice Address - Street 1:1202 SE BRIARCROFT ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-3318
Practice Address - Country:US
Practice Address - Phone:816-872-8110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021004967363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner