Provider Demographics
NPI:1578171864
Name:BRITT, ILIANA (APRN)
Entity Type:Individual
Prefix:
First Name:ILIANA
Middle Name:
Last Name:BRITT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:12900 PARK PLAZA DR STE 150
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:562-677-2409
Mailing Address - Fax:562-741-4479
Practice Address - Street 1:2968 E RUSSELL RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2453
Practice Address - Country:US
Practice Address - Phone:702-791-3729
Practice Address - Fax:702-791-3859
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-22
Last Update Date:2020-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV832626363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology