Provider Demographics
NPI:1235863044
Name:POFF, BRITTANY ANN (FNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:POFF
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:CARROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5901 GOLDEN HILLS DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1225
Mailing Address - Country:US
Mailing Address - Phone:763-765-7590
Mailing Address - Fax:763-544-0439
Practice Address - Street 1:5901 GOLDEN HILLS DR
Practice Address - Street 2:
Practice Address - City:GOLDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55416-1225
Practice Address - Country:US
Practice Address - Phone:763-765-7590
Practice Address - Fax:763-544-0439
Is Sole Proprietor?:No
Enumeration Date:2022-07-16
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily