Healthcare Provider Details

I. General information

NPI: 1467080192
Provider Name (Legal Business Name): BRITNI CABLE CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 TREVISO DR
APOLLO BEACH FL
33572-2124
US

IV. Provider business mailing address

525 TREVISO DR
APOLLO BEACH FL
33572-2124
US

V. Phone/Fax

Practice location:
  • Phone: 859-553-2391
  • Fax:
Mailing address:
  • Phone: 859-553-2391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9482428
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number32518
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11013108
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number4048410
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: