Provider Demographics
NPI:1689385262
Name:YETTON, BRITTANY RAE (APRN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RAE
Last Name:YETTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:89 HARRIS ROAD EXT
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:CT
Mailing Address - Zip Code:06420-4014
Mailing Address - Country:US
Mailing Address - Phone:401-203-9890
Mailing Address - Fax:
Practice Address - Street 1:170 FLANDERS RD STE D10
Practice Address - Street 2:
Practice Address - City:NIANTIC
Practice Address - State:CT
Practice Address - Zip Code:06357-1224
Practice Address - Country:US
Practice Address - Phone:401-203-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-05
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT11307363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics