Provider Demographics
NPI:1659813855
Name:BRITTON, ALBA EVELICIA (CRNA)
Entity Type:Individual
Prefix:
First Name:ALBA
Middle Name:EVELICIA
Last Name:BRITTON
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12213 COLONY PRESERVE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-5807
Mailing Address - Country:US
Mailing Address - Phone:786-239-2689
Mailing Address - Fax:
Practice Address - Street 1:12213 COLONY PRESERVE DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-5807
Practice Address - Country:US
Practice Address - Phone:786-239-2689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-06
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9441973163W00000X
FLAPRN9441973367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse