Basic Information
Provider Information
NPI: 1174127054
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HERMAN
FirstName: BRITNEY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP-C WHNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 22210
Address2:  
City: OAKLAND
State: CA
PostalCode: 946232210
CountryCode: US
TelephoneNumber: 5105354000
FaxNumber:  
Practice Location
Address1: 2240 GLADSTONE DR
Address2:  
City: PITTSBURG
State: CA
PostalCode: 945655126
CountryCode: US
TelephoneNumber: 9254312100
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/23/2020
LastUpdateDate: 10/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000XRN281123GAN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LW0102X95017143CAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LA2200X95017143CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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