Provider Demographics
NPI:1518626787
Name:HOUSTON, BRITTANY (FNP-C)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3609 W 1375 N
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-8380
Mailing Address - Country:US
Mailing Address - Phone:435-531-1630
Mailing Address - Fax:
Practice Address - Street 1:2002 N MAIN ST STE 3
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-9812
Practice Address - Country:US
Practice Address - Phone:435-867-1960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5244349-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily