Provider Demographics
NPI:1407546021
Name:BECK, BRITTNEE (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEE
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BRITTNEE
Other - Middle Name:
Other - Last Name:PEAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3542 MONTGOMERY HWY
Mailing Address - Street 2:
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2165
Mailing Address - Country:US
Mailing Address - Phone:334-712-2720
Mailing Address - Fax:
Practice Address - Street 1:3542 MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2165
Practice Address - Country:US
Practice Address - Phone:334-712-2720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-08
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-173152363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology