Pengeroth, Brittany

Pengeroth, Brittany is an individual health care provider with primary practice located at 330 Mount Auburn St Wyman G, Cambridge MA 02138-5597. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pengeroth, Brittany can be contacted via phone (617) 499-5639.

Contact Information

Primary practice address
330 Mount Auburn St Wyman G Cambridge MA 02138-5597
Phone: (617) 499-5639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2331150 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2331150 Massachusetts

Profile Details

NPI number 1225601305
LBN Legal business name Pengeroth, Brittany
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2021
Last updated Sep 30th, 2026 - about 7.2426041666667 days ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225601305 NPPES
Massachusetts MEDICAID 110214591A

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