Healthcare Provider Details

I. General information

NPI: 1639727381
Provider Name (Legal Business Name): KATRISA BRITTON PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2019
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 MEDI PARK DR STE 2058
AMARILLO TX
79106-2109
US

IV. Provider business mailing address

1901 MEDI PARK DR STE 2058
AMARILLO TX
79106-2109
US

V. Phone/Fax

Practice location:
  • Phone: 806-354-9540
  • Fax: 806-354-9588
Mailing address:
  • Phone: 806-354-9540
  • Fax: 806-354-9588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP142872
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: