Basic Information
Provider Information
NPI: 1043569346
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KROTZER
FirstName: BRITTANY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 694 GOOD DR
Address2: STE 112
City: LANCASTER
State: PA
PostalCode: 176012433
CountryCode: US
TelephoneNumber: 7178451621
FaxNumber: 7178546939
Practice Location
Address1: 1693 S QUEEN ST
Address2:  
City: YORK
State: PA
PostalCode: 174034609
CountryCode: US
TelephoneNumber: 7178451621
FaxNumber: 7178546939
Other Information
ProviderEnumerationDate: 08/31/2012
LastUpdateDate: 04/26/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XNM-17304OHY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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