Provider Demographics
NPI:1982378592
Name:MEZA-TURNER, BRITNEY MARLENE (PA-C)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:MARLENE
Last Name:MEZA-TURNER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITNEY
Other - Middle Name:MARLENE
Other - Last Name:MEZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:923 N SIFTER ST
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651-6581
Mailing Address - Country:US
Mailing Address - Phone:208-392-3043
Mailing Address - Fax:
Practice Address - Street 1:915 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:PORT TOWNSEND
Practice Address - State:WA
Practice Address - Zip Code:98368-2931
Practice Address - Country:US
Practice Address - Phone:360-379-8031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-06
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA61539052363A00000X
ID1166046363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant