Individual
BREANA WHITTEN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3690 GRANDVIEW PKWY DEPT OF, BIRMINGHAM, AL 35243-3326
(205) 971-7651
Mailing address
135 HORTON DR, ODENVILLE, AL 35120-3845
(813) 777-5691
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1-169032
AL
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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