Provider Demographics
NPI:1285318782
Name:BRITTON, KATHLEEN (NP)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:BRITTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4363 SAUNDERS STATION LOOP UNIT B
Mailing Address - Street 2:
Mailing Address - City:RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:23233-7820
Mailing Address - Country:US
Mailing Address - Phone:804-240-1441
Mailing Address - Fax:
Practice Address - Street 1:500 W CUMMINGS PARK STE 2950
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6536
Practice Address - Country:US
Practice Address - Phone:781-376-6938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024187049363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily