NPI 1003454570
Brittany Widebrook, PN
Practice location
- Address
- 141 Communication Dr, Hannibal, MO 63401-3670
- Phone
- (573) 603-1460
- Fax
- (573) 603-1462
- Mailing address
- 118 N 2nd St STE 200, Saint Charles, MO 63301-2894
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1003454570
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Dec 2019
- Record last updated
- 16 Dec 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.