Individual
BRITTANY LYNN GREENSPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3899
(770) 535-3611
(770) 535-7092
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 533-6511
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
RN248614
GA
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN248614
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003212335A
—
GA
05
—
003212335B
—
GA
01
—
06390600
AMERIGROUP
GA
01
—
1751922
WELLCARE
GA
Enumeration date
07/16/2018
Last updated
01/10/2019
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