Provider Demographics
NPI:1295464345
Name:BRITT, ALEXIS RAE (RN, SRNA)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:RAE
Last Name:BRITT
Suffix:
Gender:F
Credentials:RN, SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15425 HAWLEY RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-8872
Mailing Address - Country:US
Mailing Address - Phone:810-444-7645
Mailing Address - Fax:
Practice Address - Street 1:15425 HAWLEY RD
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-8872
Practice Address - Country:US
Practice Address - Phone:810-444-7645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program