Healthcare Provider Details

I. General information

NPI: 1902179013
Provider Name (Legal Business Name): BRITTANY C BRUBAKER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HARRIS CT., BLDG. T, STE. 201
MONTEREY CA
93940-5750
US

IV. Provider business mailing address

1033 EGAN AVE
PACIFIC GROVE CA
93950-2407
US

V. Phone/Fax

Practice location:
  • Phone: 831-375-4105
  • Fax:
Mailing address:
  • Phone: 415-265-2094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number21676
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: