Individual
BRITTANIE LEE EGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
985 PRINCE FREDERICK BLVD, SUITE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD, SUITE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
031178
NY
363A00000X
Physician Assistant
50.003316
OH
363A00000X
Physician Assistant
54397
CA
363A00000X
Physician Assistant
Primary
C0009246
MD
363A00000X
Physician Assistant
PA.0008320
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067803
—
OH
05
—
010866700
—
FL
01
—
54397
LIC
CA
Enumeration date
10/27/2011
Last updated
02/22/2024
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