Individual
BRENDA W IDDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
93 POINT CLEAR LANE, ALPINE, AL 35014
(205) 533-8717
Mailing address
93 POINT CLEAR DR, ALPINE, AL 35014-6417
(205) 533-8717
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1035221
AL
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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