Provider Demographics
NPI:1043055403
Name:MARVIN, BRITTANY M (FNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:M
Last Name:MARVIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:MARIA
Other - Last Name:MARVIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:19735 BENNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8243
Mailing Address - Country:US
Mailing Address - Phone:216-333-4776
Mailing Address - Fax:
Practice Address - Street 1:10524 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2205
Practice Address - Country:US
Practice Address - Phone:216-444-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-27
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0036790363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily