MEDICARE: BRITTANY KAY ALBISTON FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024174725	VA

General Provider Information

NPI Number	:	1396274171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY KAY ALBISTON FNP

Provider Business Mailing Address
First Line	:	930 SOUTH AVE STE 11
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-3620
Country	:	US
Telephone Number	:	804-504-8025
Fax Number	:	804-504-8026

Provider Business Practice Location Address
First Line	:	930 SOUTH AVE STE 11
Second Line	:
City	:	COLONIAL HEIGHTS
State	:	VA
Zip	:	23834-3620
Country	:	US
Telephone Number	:	804-504-8025
Fax Number	:	804-504-8026

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2017
Last Update Date	:	07/21/2022

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