Healthcare Provider Details

I. General information

NPI: 1225504640
Provider Name (Legal Business Name): BRITTANY ERIN WESTCOTT CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRITTANY ERIN BOUDINOT CRNA

II. Dates (important events)

Enumeration Date: 10/24/2018
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 15TH ST
AUGUSTA GA
30912-4613
US

IV. Provider business mailing address

200 HORNSBY LN
EVANS GA
30809-0689
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-8623
  • Fax:
Mailing address:
  • Phone: 863-286-9745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9369757
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN314119
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11000623
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN314119
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: