Provider Demographics
NPI:1952657272
Name:BRITA, MARIA PATRICIA (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:PATRICIA
Last Name:BRITA
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 1:505 LINE ST
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-1242
Mailing Address - Country:US
Mailing Address - Phone:609-567-3709
Mailing Address - Fax:
Practice Address - Street 1:505 LINE ST
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1242
Practice Address - Country:US
Practice Address - Phone:609-567-3709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-24
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO05826200163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse