MEDICARE: BRITTANY HOUSTON FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	5244349-4405	UT

General Provider Information

NPI Number	:	1518626787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY HOUSTON FNP-C

Provider Business Mailing Address
First Line	:	3609 W 1375 N
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-8380
Country	:	US
Telephone Number	:	435-531-1630
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 N MAIN ST STE 3
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-9812
Country	:	US
Telephone Number	:	435-867-1960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2021
Last Update Date	:	12/14/2021

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