Provider Demographics
NPI:1174954838
Name:BRITTEN, BRENDA MARIE (ARNP-C)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:MARIE
Last Name:BRITTEN
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:MRS
Other - First Name:BRENDA
Other - Middle Name:
Other - Last Name:GARY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 540547
Mailing Address - Street 2:
Mailing Address - City:MERRITT ISLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32954-0547
Mailing Address - Country:US
Mailing Address - Phone:321-221-7447
Mailing Address - Fax:321-221-7448
Practice Address - Street 1:284 S BREVARD AVE
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-2797
Practice Address - Country:US
Practice Address - Phone:321-221-7447
Practice Address - Fax:321-221-7448
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9295385363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner