Healthcare Provider Details

I. General information

NPI: 1104710821
Provider Name (Legal Business Name): BRITTANY LAUDER APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6075 BATHEY LN
NAPLES FL
34116-7536
US

IV. Provider business mailing address

1317 EDGEWATER DR # 2098
ORLANDO FL
32804-6350
US

V. Phone/Fax

Practice location:
  • Phone: 239-455-8500
  • Fax:
Mailing address:
  • Phone: 270-904-0976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11039640
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: