Healthcare Provider Details

I. General information

NPI: 1356428668
Provider Name (Legal Business Name): DEBORAH JEAN LYTAL-BRITTON CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH JEAN LYTAL-BRITTON CRNA

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 S MONTGOMERY AVE
SHEFFIELD AL
35660-6334
US

IV. Provider business mailing address

PO BOX 391
SHEFFIELD AL
35660-0391
US

V. Phone/Fax

Practice location:
  • Phone: 256-386-4005
  • Fax: 256-386-4685
Mailing address:
  • Phone: 256-710-3766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1093841
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: