Healthcare Provider Details

I. General information

NPI: 1679113260
Provider Name (Legal Business Name): BRITANIE LYNN SPEZIALE REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 E INDIANA AVE BLDG A
SPOKANE WA
99207-2313
US

IV. Provider business mailing address

1117 TIETON DR
YAKIMA WA
98902-3835
US

V. Phone/Fax

Practice location:
  • Phone: 866-904-7721
  • Fax:
Mailing address:
  • Phone: 866-904-7721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP.70154550-NP
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60757542
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: