Provider Demographics
NPI:1477254464
Name:BRITTANY WATSON NP NURSING CORPORATION
Entity Type:Organization
Organization Name:BRITTANY WATSON NP NURSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:858-522-0145
Mailing Address - Street 1:1401 N EL CAMINO REAL STE 100
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-4983
Mailing Address - Country:US
Mailing Address - Phone:858-522-0145
Mailing Address - Fax:619-853-4386
Practice Address - Street 1:1401 N EL CAMINO REAL STE 100
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-4983
Practice Address - Country:US
Practice Address - Phone:858-522-0145
Practice Address - Fax:619-853-4386
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty