Individual
MRS. AMANDA E BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
915 W LAUREL AVE, FOLEY, AL 36535-1324
(251) 943-5440
(251) 943-9431
Mailing address
PO BOX 1862, FOLEY, AL 36536-1862
(251) 943-5440
(251) 943-9431
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-090284
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-090284
LICENSE
AL
Enumeration date
01/19/2012
Last updated
02/27/2018
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