Provider Demographics
NPI:1336966985
Name:SHOFFEITT, BRITTANY (FNP)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:SHOFFEITT
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 E CHAPMAN AVE APT 234
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-4901
Mailing Address - Country:US
Mailing Address - Phone:949-742-0762
Mailing Address - Fax:
Practice Address - Street 1:15050 IMPERIAL HWY
Practice Address - Street 2:
Practice Address - City:LA MIRADA
Practice Address - State:CA
Practice Address - Zip Code:90638-1301
Practice Address - Country:US
Practice Address - Phone:562-698-0811
Practice Address - Fax:562-789-5902
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2025-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032267363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily