Provider Demographics
NPI:1235719386
Name:DE LA ROSA, BRITNEY (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:BRITNEY
Middle Name:
Last Name:DE LA ROSA
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2510 E END BLVD N STE B
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:TX
Mailing Address - Zip Code:75670-0704
Mailing Address - Country:US
Mailing Address - Phone:903-503-9260
Mailing Address - Fax:
Practice Address - Street 1:3903 FITZGERALD ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:TX
Practice Address - Zip Code:75672-2607
Practice Address - Country:US
Practice Address - Phone:903-934-0287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-13
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1034299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily