Provider Demographics
NPI:1043814700
Name:PEELER, BRITTANY LAUREN (DNP)
Entity type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:LAUREN
Last Name:PEELER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:LAUREN
Other - Last Name:DURBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 S FISKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4306
Mailing Address - Country:US
Mailing Address - Phone:321-549-0815
Mailing Address - Fax:
Practice Address - Street 1:699 W COCOA BEACH CSWY UNIT 202
Practice Address - Street 2:
Practice Address - City:COCOA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32931-3514
Practice Address - Country:US
Practice Address - Phone:321-549-0815
Practice Address - Fax:321-768-0039
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11009692363LP2300X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLQN711OtherMEDICARE HF
FL112550200Medicaid