Individual
MR. BRIAN DAVID WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C, AGACNP-BC
Contact information
Practice address
101 SIVLEY RD SW, HUNTSVILLE, AL 35801-4470
(256) 265-1000
Mailing address
101 BLAKE AVE, MUSCLE SHOALS, AL 35661-1207
(256) 810-8721
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-113708
AL
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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