Provider Demographics
NPI:1841225398
Name:BRITTON, NINA REGINA (RN)
Entity Type:Individual
Prefix:MRS
First Name:NINA
Middle Name:REGINA
Last Name:BRITTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8381 TALLMAN RD
Mailing Address - Street 2:
Mailing Address - City:FALCON
Mailing Address - State:CO
Mailing Address - Zip Code:80831-7960
Mailing Address - Country:US
Mailing Address - Phone:719-440-5491
Mailing Address - Fax:719-495-9161
Practice Address - Street 1:1743 ASCOT RD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-5601
Practice Address - Country:US
Practice Address - Phone:719-289-3152
Practice Address - Fax:719-495-9161
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0102528163WC0400X, 163W00000X
CO102528163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000204834Medicaid