Provider Demographics
NPI:1679933238
Name:CLARKE, BRITTANY M (CNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:M
Last Name:CLARKE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:M
Other - Last Name:PENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNP
Mailing Address - Street 1:201 OLD BANK RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-2416
Mailing Address - Country:US
Mailing Address - Phone:513-248-0100
Mailing Address - Fax:513-248-4334
Practice Address - Street 1:201 OLD BANK RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-2416
Practice Address - Country:US
Practice Address - Phone:513-248-0100
Practice Address - Fax:513-248-4334
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH360948363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily