Provider Demographics
NPI:1679084321
Name:RAYMOND, BRITTANY LYNN (APRN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LYNN
Last Name:RAYMOND
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 1:5 WASHINGTON PLACE
Mailing Address - Street 2:OBSTETRICS & GYNECOLOGY
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110
Mailing Address - Country:US
Mailing Address - Phone:603-695-2900
Mailing Address - Fax:
Practice Address - Street 1:5 WASHINGTON PLACE
Practice Address - Street 2:OBSTETRICS & GYNECOLOGY
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110
Practice Address - Country:US
Practice Address - Phone:603-695-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-21
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH068238-23363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3111382Medicaid