Provider Demographics
NPI:1215996855
Name:BRAMMER, SHARON (CRNP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:BRAMMER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2048
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36652-2048
Mailing Address - Country:US
Mailing Address - Phone:251-432-4117
Mailing Address - Fax:251-436-7765
Practice Address - Street 1:1201 SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36604-2717
Practice Address - Country:US
Practice Address - Phone:251-694-1801
Practice Address - Fax:251-694-1890
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1020545363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51502392OtherBCBS
AL51502400OtherBCBS
AL631410120Medicaid
AL631411120Medicaid
AL51502393OtherBCBS
AL631404120Medicaid
AL51502402OtherBCBS
AL631405120Medicaid
AL631401720Medicaid
AL631403120Medicaid
AL51502403OtherBCBS
AL631402120Medicaid
AL51502395OtherBCBS
AL631400120Medicaid
AL631406120Medicaid