Healthcare Provider Details

I. General information

NPI: 1316320765
Provider Name (Legal Business Name): BRITTNEY D. ADDIS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2443 FILLMORE ST # 38015799
SAN FRANCISCO CA
94115-1814
US

IV. Provider business mailing address

810 8TH ST N
SAINT PETERSBURG FL
33701-2102
US

V. Phone/Fax

Practice location:
  • Phone: 888-156-2045
  • Fax:
Mailing address:
  • Phone: 615-714-7942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040091
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN9329441
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024608
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberNPPA076481
License Number StatePA
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-RXN.0104186-C-NP
License Number StateCO
# 6
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number252256
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: