Individual
BRANDY THOMASON TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1500 6TH AVE S, BIRMINGHAM, AL 35233-1602
(205) 934-7330
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1-094513
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051523540
BLUE CROSS
AL
01
—
051523541
BLUE CROSS
AL
01
—
051523542
BLUE CROSS
AL
01
—
051523543
BLUE CROSS
AL
01
—
051523545
BLUE CROSS
AL
01
—
051523546
BLUE CROSS
AL
01
—
051523548
BLUE CROSS
AL
01
—
051524951
BLUE CROSS
AL
01
—
051524952
BLUE CROSS
AL
01
—
051524953
BLUE CROSS
AL
05
—
891008110
—
AL
05
—
891008120
—
AL
05
—
891008130
—
AL
05
—
891008140
—
AL
05
—
891008150
—
AL
05
—
891008160
—
AL
05
—
891008170
—
AL
05
—
891008450
—
AL
05
—
891008460
—
AL
05
—
891008470
—
AL
Enumeration date
07/24/2006
Last updated
07/11/2012
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