Provider Demographics
NPI:1801168976
Name:CABRERA, BRITTANY FAITH (PA-C)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:FAITH
Last Name:CABRERA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRITTANY
Other - Middle Name:FAITH
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-715-5300
Mailing Address - Fax:405-715-5350
Practice Address - Street 1:2916 N KELLY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-3233
Practice Address - Country:US
Practice Address - Phone:405-715-5300
Practice Address - Fax:405-715-5350
Is Sole Proprietor?:No
Enumeration Date:2012-02-03
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2085363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant