Provider Demographics
NPI:1871074120
Name:MULVEY, BRITTANY MICHELLE (FNP)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:MICHELLE
Last Name:MULVEY
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Gender:F
Credentials:FNP
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8072
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-996-5225
Mailing Address - Fax:314-991-0943
Practice Address - Street 1:3015 N BALLAS RD
Practice Address - Street 2:DEPT EMERGENCY MEDICINE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63131-2329
Practice Address - Country:US
Practice Address - Phone:314-966-5000
Practice Address - Fax:314-747-3338
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2021-11-15
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Provider Licenses
StateLicense IDTaxonomies
MO2018024331363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO420060549Medicaid