Healthcare Provider Details

I. General information

NPI: 1215996855
Provider Name (Legal Business Name): SHARON BRAMMER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 04/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SPRING HILL AVE
MOBILE AL
36604-2717
US

IV. Provider business mailing address

PO BOX 2048
MOBILE AL
36652-2048
US

V. Phone/Fax

Practice location:
  • Phone: 251-694-1801
  • Fax: 251-694-1890
Mailing address:
  • Phone: 251-432-4117
  • Fax: 251-436-7765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1020545
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: