Individual
BRIAN WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2817 30TH AVE N, BIRMINGHAM, AL 35207-4541
(205) 407-5600
Mailing address
2817 30TH AVE N, BIRMINGHAM, AL 35207-4541
(205) 407-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-128567
AL
Other
Enumeration date
07/23/2015
Last updated
01/15/2020
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