Provider Demographics
NPI:1538602685
Name:MARSH, BRITTANY LATHAM (CRNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LATHAM
Last Name:MARSH
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LEMLEY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:ONEONTA
Mailing Address - State:AL
Mailing Address - Zip Code:35121-2100
Mailing Address - Country:US
Mailing Address - Phone:205-625-3561
Mailing Address - Fax:
Practice Address - Street 1:101 LEMLEY DR
Practice Address - Street 2:SUITE A
Practice Address - City:ONEONTA
Practice Address - State:AL
Practice Address - Zip Code:35121-2100
Practice Address - Country:US
Practice Address - Phone:205-625-3561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-22
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-124206363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care