Provider Demographics
NPI:1881350791
Name:BROTHERS, BRITTANY NICOLE (APN-BC, RDN, CDCES)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:NICOLE
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:APN-BC, RDN, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 CRANMOOR DR
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6865
Mailing Address - Country:US
Mailing Address - Phone:908-752-1811
Mailing Address - Fax:
Practice Address - Street 1:49 CRANMOOR DR
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6865
Practice Address - Country:US
Practice Address - Phone:908-752-1811
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-15
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01168500363L00000X
NJ86277641133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner