Provider Demographics
NPI:1609509967
Name:LIU, BRITTANY (FNP)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 MEDICAL PKWY STE 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2543
Mailing Address - Country:US
Mailing Address - Phone:512-384-1920
Mailing Address - Fax:
Practice Address - Street 1:1410 MEDICAL PKWY STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2543
Practice Address - Country:US
Practice Address - Phone:512-384-1920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1059609363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1059609OtherB A MEDICAL AESTHETICS