Healthcare Provider Details

I. General information

NPI: 1336496421
Provider Name (Legal Business Name): AMY LYNN BRITTON CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2012
Last Update Date: 08/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 WHITLEY ST
MOBILE AL
36610-3318
US

IV. Provider business mailing address

251 N BAYOU ST
MOBILE AL
36603-5827
US

V. Phone/Fax

Practice location:
  • Phone: 251-456-2276
  • Fax: 251-456-2205
Mailing address:
  • Phone: 251-690-8894
  • Fax: 251-544-2188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-100645
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: