Individual
BREANA NICOLE DURRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4108 RIVER WALK LN, VESTAVIA HILLS, AL 35216-6812
(240) 682-4232
Mailing address
4108 RIVER WALK LN, VESTAVIA HILLS, AL 35216-6812
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG10200084
AL
363LG0600X
Gerontology Nurse Practitioner
AG10200084
AL
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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