Provider Demographics
NPI:1538798095
Name:HEITKAMP, BRITTANY NICOLE (PNP)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:NICOLE
Last Name:HEITKAMP
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Gender:F
Credentials:PNP
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Mailing Address - Street 1:660 S EUCLID AVE
Mailing Address - Street 2:CB 8057
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1010
Mailing Address - Country:US
Mailing Address - Phone:314-454-4437
Mailing Address - Fax:314-454-2818
Practice Address - Street 1:1 CHILDRENS PL
Practice Address - Street 2:DEPT NEUROLOGICAL SURGERY, STE 4E
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-4437
Practice Address - Fax:314-454-2818
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2021-11-15
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Provider Licenses
StateLicense IDTaxonomies
MO2021031072363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty