Healthcare Provider Details

I. General information

NPI: 1841225398
Provider Name (Legal Business Name): NINA REGINA BRITTON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 07/24/2023
Certification Date: 07/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1743 ASCOT RD
COLORADO SPRINGS CO
80906-5601
US

IV. Provider business mailing address

8381 TALLMAN RD
FALCON CO
80831-7960
US

V. Phone/Fax

Practice location:
  • Phone: 719-289-3152
  • Fax: 719-495-9161
Mailing address:
  • Phone: 719-440-5491
  • Fax: 719-495-9161

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number0102528
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number102528
License Number StateCO
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number0102528
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: