Provider Demographics
NPI:1518389063
Name:MCCARTY, BRITTANY GANSAR (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:GANSAR
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:LAUREN
Other - Last Name:GANSAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2500 ROCKY MOUNTAIN AVE
Mailing Address - Street 2:NMOB SUITE 2200
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538
Mailing Address - Country:US
Mailing Address - Phone:970-203-7250
Mailing Address - Fax:970-203-7256
Practice Address - Street 1:1760 E KEN PRATT BLVD STE 205
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80504-5311
Practice Address - Country:US
Practice Address - Phone:720-718-3930
Practice Address - Fax:720-718-0939
Is Sole Proprietor?:No
Enumeration Date:2014-01-16
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
CO0003898363AS0400X
COPA.0003898363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant