Provider Demographics
NPI:1750588273
Name:BRITZMAN, ELAINE (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:
Last Name:BRITZMAN
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25700 RAIL RD
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:MO
Mailing Address - Zip Code:65556-7639
Mailing Address - Country:US
Mailing Address - Phone:417-532-3495
Mailing Address - Fax:417-532-3598
Practice Address - Street 1:874 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:MO
Practice Address - Zip Code:65536
Practice Address - Country:US
Practice Address - Phone:417-532-3495
Practice Address - Fax:417-532-3598
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO146533163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator