Basic Information
Provider Information
NPI: 1144977984
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RABBEITT
FirstName: BRITNI
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: CRNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5750A SOUTHLAND DR
Address2:  
City: MOBILE
State: AL
PostalCode: 366933316
CountryCode: US
TelephoneNumber: 2514502211
FaxNumber: 2516627297
Practice Location
Address1: 2400 GORDON SMITH DR
Address2:  
City: MOBILE
State: AL
PostalCode: 366172319
CountryCode: US
TelephoneNumber: 2514734423
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/02/2022
LastUpdateDate: 03/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808X1-123786ALY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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