Provider Demographics
NPI:1801840426
Name:BRITAIN, ELIZABETH A (CNM)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:BRITAIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1092
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:WA
Mailing Address - Zip Code:98812-1092
Mailing Address - Country:US
Mailing Address - Phone:509-587-0107
Mailing Address - Fax:541-884-1151
Practice Address - Street 1:6614 E MAIN AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99212-0833
Practice Address - Country:US
Practice Address - Phone:509-587-0105
Practice Address - Fax:509-689-1770
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDN22656367A00000X
OR201602069NP-PP367A00000X
WAAP10003070367A00000X
IDN-22656363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1341548Medicare ID - Type Unspecified
IDNPKU0OtherBLUE CROSS
S28035Medicare UPIN
ID000010016666OtherBLUE SHIELD
ID002401500Medicaid