Basic Information
Provider Information
NPI: 1881356806
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COURTS
FirstName: BRITNI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 4190
Address2:  
City: BARBOURSVILLE
State: WV
PostalCode: 255044190
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1600 MEDICAL CENTER DR STE B500
Address2:  
City: HUNTINGTON
State: WV
PostalCode: 257013655
CountryCode: US
TelephoneNumber: 3046911787
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/07/2021
LastUpdateDate: 01/25/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X107891WVY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


Home