Provider Demographics
NPI:1629443197
Name:BRITTON-KING, MARY BETH (ARNP)
Entity Type:Individual
Prefix:
First Name:MARY BETH
Middle Name:
Last Name:BRITTON-KING
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 S PATRICK DR
Mailing Address - Street 2:
Mailing Address - City:SATELLITE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32937-3956
Mailing Address - Country:US
Mailing Address - Phone:321-622-5432
Mailing Address - Fax:321-622-8329
Practice Address - Street 1:1231 S PATRICK DR
Practice Address - Street 2:
Practice Address - City:SATELLITE BEACH
Practice Address - State:FL
Practice Address - Zip Code:32937-3956
Practice Address - Country:US
Practice Address - Phone:321-622-5432
Practice Address - Fax:321-622-8329
Is Sole Proprietor?:No
Enumeration Date:2015-12-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9205619363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily