Healthcare Provider Details

I. General information

NPI: 1205155678
Provider Name (Legal Business Name): BRANDI L WALKER-DUNCAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BRANDI L WALKER-DUNCAN CRNP

II. Dates (important events)

Enumeration Date: 05/25/2010
Last Update Date: 05/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ADAMS AVE
MONTGOMERY AL
36104-4424
US

IV. Provider business mailing address

PO BOX 70365
MONTGOMERY AL
36107-0365
US

V. Phone/Fax

Practice location:
  • Phone: 334-420-5001
  • Fax: 334-420-0146
Mailing address:
  • Phone: 334-420-5001
  • Fax: 334-420-0146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1-102943
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: