MEDICARE: BRITTANY RAY YATES

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	9354506	FL

General Provider Information

NPI Number	:	1568969905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY RAY YATES

Provider Business Mailing Address
First Line	:	2810 REMINGTON GREEN CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8708
Country	:	US
Telephone Number	:	850-901-5740
Fax Number	:	850-373-4835

Provider Business Practice Location Address
First Line	:	2810 REMINGTON GREEN CIR
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8708
Country	:	US
Telephone Number	:	850-901-5740
Fax Number	:	850-373-4835

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

Provider Enumeration Date	:	04/11/2018
Last Update Date	:	06/27/2025

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