Provider Demographics
NPI:1518420678
Name:BRIGHTON, ANITA AMERY (RN)
Entity Type:Individual
Prefix:
First Name:ANITA
Middle Name:AMERY
Last Name:BRIGHTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6522 100TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-1712
Mailing Address - Country:US
Mailing Address - Phone:775-544-2243
Mailing Address - Fax:253-267-0840
Practice Address - Street 1:6522 100TH ST SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98499-1712
Practice Address - Country:US
Practice Address - Phone:775-544-2243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-07
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00170839163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse