Healthcare Provider Details

I. General information

NPI: 1992183982
Provider Name (Legal Business Name): BRITTANY MARY NAVARRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2015
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 LA CANADA ST STE 230
LAS VEGAS NV
89169-2551
US

IV. Provider business mailing address

3131 LA CANADA ST STE 230
LAS VEGAS NV
89169-2551
US

V. Phone/Fax

Practice location:
  • Phone: 702-732-1290
  • Fax: 702-732-1385
Mailing address:
  • Phone: 702-732-1290
  • Fax: 702-732-1385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2080P0202X
TaxonomyPediatric Cardiology Physician
License Number26170
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: