Healthcare Provider Details

I. General information

NPI: 1114454816
Provider Name (Legal Business Name): BRITTNEY RENA AYERS NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1147 RED TAIL WAY
SIMI VALLEY CA
93065-7232
US

IV. Provider business mailing address

4514 LUBBOCK DR APT B
SIMI VALLEY CA
93063-1773
US

V. Phone/Fax

Practice location:
  • Phone: 805-527-8055
  • Fax: 805-520-8849
Mailing address:
  • Phone: 805-433-4379
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberVN279709
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95014234
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95113655
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: