MEDICARE: BRITTANY CERVANTES NP

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	363L00000X	Nurse Practitioner	95022565	CA

General Provider Information

NPI Number	:	1609621176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY CERVANTES NP

Provider Business Mailing Address
First Line	:	3305 GREENVILLE DR
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93063-1248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3305 GREENVILLE DR
Second Line	:
City	:	SIMI VALLEY
State	:	CA
Zip	:	93063-1248
Country	:	US
Telephone Number	:	805-660-0504
Fax Number	:

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

Provider Enumeration Date	:	04/18/2024
Last Update Date	:	04/18/2024

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Directions to “ BRITTANY CERVANTES NP” Practice Location

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