Provider Demographics
NPI:1295845964
Name:BRITT, PATSY LOUISE (APN)
Entity Type:Individual
Prefix:MS
First Name:PATSY
Middle Name:LOUISE
Last Name:BRITT
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 E TOPAZ LANE
Mailing Address - Street 2:
Mailing Address - City:HORSESHOE BEND
Mailing Address - State:AR
Mailing Address - Zip Code:72512
Mailing Address - Country:US
Mailing Address - Phone:870-670-5735
Mailing Address - Fax:870-895-4340
Practice Address - Street 1:510 SOUTH MAIN
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:AR
Practice Address - Zip Code:72576
Practice Address - Country:US
Practice Address - Phone:870-895-3300
Practice Address - Fax:870-895-4340
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA01028363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1049OtherPT AUTHORITY CERT #