Individual
BRITTANY K. BAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
(417) 875-3667
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021019886
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420098837
—
MO
Enumeration date
06/19/2021
Last updated
09/23/2021
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