Provider Demographics
NPI:1801498795
Name:BREWTON, BRITTANY (RN)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BREWTON
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 1:13146 LA MIRADA CIR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-3997
Mailing Address - Country:US
Mailing Address - Phone:954-830-0139
Mailing Address - Fax:
Practice Address - Street 1:3060 MELALEUCA LN
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33461-5174
Practice Address - Country:US
Practice Address - Phone:561-357-7200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-15
Last Update Date:2020-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9426740163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care