Individual
BRITTANY CHARLENE WICKWARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
28490 2ND ST STE B, DAPHNE, AL 36526-7150
(251) 308-9800
(877) 413-5104
Mailing address
30417 PINYON DR, SPANISH FORT, AL 36527-8727
(251) 233-1075
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1-127339
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
1-127339
AL
363LA2200X
Adult Health Nurse Practitioner
APRN11000136
FL
Other
Enumeration date
05/25/2018
Last updated
01/20/2020
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