Provider Demographics
NPI:1437153327
Name:BRITTON, ELIZABETH NELSON (NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NELSON
Last Name:BRITTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1222 KIMBRO DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-6046
Mailing Address - Country:US
Mailing Address - Phone:225-769-2790
Mailing Address - Fax:
Practice Address - Street 1:5825 AIRLINE HWY
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70805-2408
Practice Address - Country:US
Practice Address - Phone:225-354-2000
Practice Address - Fax:225-358-4876
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN050756 APO1861363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1685593Medicaid
LA4B923DD21Medicare PIN