Provider Demographics
NPI:1366782757
Name:MITCHELL, BRITTNAY K (CRNP)
Entity type:Individual
Prefix:
First Name:BRITTNAY
Middle Name:K
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 309
Mailing Address - Street 2:148 J C MAULDIN HIGHWAY
Mailing Address - City:KILLEN
Mailing Address - State:AL
Mailing Address - Zip Code:35645-0309
Mailing Address - Country:US
Mailing Address - Phone:256-757-5353
Mailing Address - Fax:256-757-9744
Practice Address - Street 1:148 J C MAULDIN HWY
Practice Address - Street 2:
Practice Address - City:KILLEN
Practice Address - State:AL
Practice Address - Zip Code:35645-9106
Practice Address - Country:US
Practice Address - Phone:256-757-5353
Practice Address - Fax:256-757-9744
Is Sole Proprietor?:No
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-121925363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily