Basic Information
Provider Information
NPI: 1689025413
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HORTIN
FirstName: BRITTANY
MiddleName: CARRERE
NamePrefix: MRS.
NameSuffix:  
Credential: APRN, FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 17609 OLD JEFFERSON HWY STE A
Address2:  
City: PRAIRIEVILLE
State: LA
PostalCode: 707693980
CountryCode: US
TelephoneNumber: 2257655500
FaxNumber:  
Practice Location
Address1: 17609 OLD JEFFERSON HWY STE A
Address2:  
City: PRAIRIEVILLE
State: LA
PostalCode: 707693980
CountryCode: US
TelephoneNumber: 2257655500
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/22/2016
LastUpdateDate: 03/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XAP08854LAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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