Provider Demographics
NPI:1013456169
Name:BROWN, BRITTANY MARIE (WHNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 N HELBERTA AVE
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-2917
Mailing Address - Country:US
Mailing Address - Phone:661-477-6090
Mailing Address - Fax:
Practice Address - Street 1:509 N HELBERTA AVE
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-2917
Practice Address - Country:US
Practice Address - Phone:661-477-6090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006191363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health