Provider Demographics
NPI:1699391375
Name:EVERETT, BRITTNY RENEE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNY
Middle Name:RENEE
Last Name:EVERETT
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 1:1900 HOBO ST
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-1312
Mailing Address - Country:US
Mailing Address - Phone:918-931-8037
Mailing Address - Fax:
Practice Address - Street 1:700 SUGAR CREEK ROAD
Practice Address - Street 2:
Practice Address - City:HINTON
Practice Address - State:OK
Practice Address - Zip Code:73047
Practice Address - Country:US
Practice Address - Phone:405-542-3711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-18
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK115999363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily