Individual
BRITTANY ELLA FALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201250012NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500643643
—
OR
Enumeration date
09/14/2011
Last updated
10/31/2013
Update your record
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