Individual
MRS. BRANDI ALESI TREHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2001 SPRING HILL AVE, MOBILE, AL 36607-3326
(251) 433-3344
(251) 433-4052
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-102766
AL
363LF0000X
Family Nurse Practitioner
Primary
1-102766
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02932569
MS MEDICAID
MS
01
—
102I505629
MEDICARE
AL
05
—
193346
—
AL
05
—
204590
—
AL
05
—
208000
—
AL
05
—
213019
—
AL
05
—
214141
—
AL
01
—
4582549
AETNA
AL
01
—
511-85569
BCBS
AL
01
—
511-85570
BCBS
AL
01
—
511-85571
BCBS
AL
01
—
512-05751
BCBS
AL
01
—
6247749
UHC
AL
01
—
P01827227
RR MEDICARE
AL
01
—
Z79239
VIVA HEALTH
AL
Enumeration date
09/06/2016
Last updated
06/28/2019
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