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BRANDI CRISWELL

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1144758756

Individual Registrant:
 BRANDI  CRISWELL 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1255 US
Tel: 334-283-3111  Fax: --

Contact information for business:
875 FRIENDSHIP RD  TALLASSEE, AL 36078-1255 US
Tel: --  Fax: --

Registration Information:
NPI: 1144758756
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AL1-131647

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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